Bacon, Jessica

Bacon, Jessica is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1873. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Bacon, Jessica can be contacted via phone (937) 641-3414.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1873
Phone: (937) 641-3414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X COA.15424 Ohio

Profile Details

NPI number 1821413063
LBN Legal business name Bacon, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2014
Last updated Feb 25th, 2014 - about 11 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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