Bacon, Oliver M.L.

Bacon, Oliver M.L. is an individual health care provider with primary practice located at 400 Parnassus Ave # 429 , San Francisco CA 94143-2202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Bacon, Oliver M.L. can be contacted via phone (415) 353-2119.

Contact Information

Primary practice address
400 Parnassus Ave # 429 San Francisco CA 94143-2202
Phone: (415) 353-2119
Fax: (415) 353-2406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A73008 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A73008 California

Profile Details

NPI number 1497863146
LBN Legal business name Bacon, Oliver M.L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jan 10th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497863146 NPPES
California MEDICAID 00A730080

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