Bacon, John A.

Bacon, John A. is an individual health care provider with primary practice located at 525 Sw 6Th St , Corvallis OR 97333-4323. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bacon, John A. can be contacted via phone (541) 752-0834.

Contact Information

Primary practice address
525 Sw 6Th St Corvallis OR 97333-4323
Phone: (541) 752-0834
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW #975 Oregon

Profile Details

NPI number 1992796486
LBN Legal business name Bacon, John A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 18 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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