Bacon, Merrill Philip
Bacon, Merrill Philip is an individual health care provider with primary practice located at 3400 Loma Vista Rd Ste. 9, Ventura CA 93003-3033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Bacon, Merrill Philip can be contacted via phone (805) 644-4477.Contact Information
Primary practice address
3400 Loma Vista Rd Ste. 9
Ventura CA 93003-3033
Phone: (805) 644-4477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | C31585 | California |
Profile Details
| NPI number | 1225053903 |
|---|---|
| LBN Legal business name | Bacon, Merrill Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 8th, 2007 - about 17 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 | 1225053903 | NPPES |
| California | MEDICAID | 00C315850 |
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