Bacon, Martin E
Bacon, Martin E is an individual health care provider with primary practice located at 3634 Cape Center Drive , Fayetteville NC 28304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bacon, Martin E can be contacted via phone (910) 485-6470.Contact Information
Primary practice address
3634 Cape Center Drive
Fayetteville NC 28304
Phone: (910) 485-6470
Fax: (910) 485-8198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 38890 | North Carolina |
Profile Details
| NPI number | 1811961683 |
|---|---|
| LBN Legal business name | Bacon, Martin E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Jan 9th, 2008 - about 16 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 | 1811961683 | NPPES |
| North Carolina | MEDICAID | 8912453 | |
| North Carolina | Other | 12453 |
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