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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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