Bacon, Jerry Nickie

Bacon, Jerry Nickie is an individual health care provider with primary practice located at 4444 Calle Real Calle Real Clinic, Santa Barbara CA 93110-1002. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Bacon, Jerry Nickie can be contacted via phone (805) 681-5318.

Contact Information

Primary practice address
4444 Calle Real Calle Real Clinic Santa Barbara CA 93110-1002
Phone: (805) 681-5318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1477609121
LBN Legal business name Bacon, Jerry Nickie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 17 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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