Bacon, Robyn

Bacon, Robyn is an individual health care provider with primary practice located at 10 Davol Sq Suite 400, Providence RI 02903-4754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bacon, Robyn can be contacted via phone (401) 421-4000.

Contact Information

Primary practice address
10 Davol Sq Suite 400 Providence RI 02903-4754
Phone: (401) 421-4000
Fax: (401) 272-1456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00341 Rhode Island

Profile Details

NPI number 1891782579
LBN Legal business name Bacon, Robyn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jul 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891782579 NPPES
Rhode Island Other 27960-0 BCBS OF RI
Rhode Island Other 411838 BCBS OF RI
Rhode Island MEDICAID 9003736 BCBS OF RI

Popular Providers