Bacon, Jonathan P
Bacon, Jonathan P is an individual health care provider with primary practice located at 78 Dolphin Point Dr , Beaufort SC 29907-1715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bacon, Jonathan P can be contacted via phone (253) 722-4909.Contact Information
Primary practice address
78 Dolphin Point Dr
Beaufort SC 29907-1715
Phone: (253) 722-4909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD00021515 | Washington |
Profile Details
| NPI number | 1366506388 |
|---|---|
| LBN Legal business name | Bacon, Jonathan P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Mar 26th, 2018 - about 6 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 | 1366506388 | NPPES |
| Washington | MEDICAID | 1016591 |
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