Bacon, Jennifer Anita

Bacon, Jennifer Anita is an individual health care provider with primary practice located at 804 S Mumaugh Rd , Lima OH 45804-3569. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bacon, Jennifer Anita can be contacted via phone (419) 225-9040.

Contact Information

Primary practice address
804 S Mumaugh Rd Lima OH 45804-3569
Phone: (419) 225-9040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3022 Ohio

Profile Details

NPI number 1447686233
LBN Legal business name Bacon, Jennifer Anita
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2013
Last updated Sep 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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