Bacon, Keimiah

Bacon, Keimiah is an individual health care provider with primary practice located at 1405 Prairie Pkwy Ste 309 , West Fargo ND 58078-3323. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bacon, Keimiah can be contacted via phone (701) 277-8844.

Contact Information

Primary practice address
1405 Prairie Pkwy Ste 309 West Fargo ND 58078-3323
Phone: (701) 277-8844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1205619541
LBN Legal business name Bacon, Keimiah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2023
Last updated Aug 18th, 2023 - about 2 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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