Bacon, Kelli Jo-Ann
Bacon, Kelli Jo-Ann is an individual health care provider with primary practice located at 1540 Trinity Pl , Mishawaka IN 46545-5006. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Bacon, Kelli Jo-Ann can be contacted via phone (574) 272-9000.Contact Information
Primary practice address
1540 Trinity Pl
Mishawaka IN 46545-5006
Phone: (574) 272-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 28188683A | Indiana |
Profile Details
| NPI number | 1558056655 |
|---|---|
| LBN Legal business name | Bacon, Kelli Jo-Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2023 |
| Last updated | Apr 6th, 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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