Bacon, Patrick Nephi

Bacon, Patrick Nephi is an individual health care provider with primary practice located at 2502 S Union Ave , Tacoma WA 98405-1328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bacon, Patrick Nephi can be contacted via phone (253) 841-4653.

Contact Information

Primary practice address

2502 S Union Ave Tacoma WA 98405-1328

Phone: (253) 841-4653

Fax: (253) 446-3973

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Diagnostic Radiology	2085R0202X	MD60640217	Washington

Profile Details

NPI number	1477866739
LBN Legal business name	Bacon, Patrick Nephi
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jul 15th, 2010
Last updated	Apr 25th, 2024 - about 5 months 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

State	Type	Number	Issuer
All States	NPI	1477866739	NPPES
Washington	MEDICAID	2057248

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