Bacon, Justin Alan
Bacon, Justin Alan is an individual health care provider with primary practice located at 210 Medical Pavilion Dr , Raeford NC 28376-9111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bacon, Justin Alan can be contacted via phone (910) 904-8000.Contact Information
Primary practice address
210 Medical Pavilion Dr
Raeford NC 28376-9111
Phone: (910) 904-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2018-02158 | North Carolina |
Profile Details
NPI number | 1205221926 |
---|---|
LBN Legal business name | Bacon, Justin Alan |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2015 |
Last updated | Aug 14th, 2019 - about 5 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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