Bacon, John Richard
Bacon, John Richard is an sole proprietor health care provider with primary practice located at 120 Sister Pierre Dr Ste 201, Towson MD 21204-7525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Bacon, John Richard can be contacted via phone (410) 321-0284.Contact Information
Primary practice address
120 Sister Pierre Dr Ste 201
Towson MD 21204-7525
Phone: (410) 321-0284
Fax: (410) 321-0286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | D0028727 | Maryland |
Profile Details
| NPI number | 1538162078 |
|---|---|
| LBN Legal business name | Bacon, John Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2005 |
| Last updated | May 19th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538162078 | NPPES |
| Maryland | MEDICAID | 26692-1800 |
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