Bacon, Ross Noel

Bacon, Ross Noel is an individual health care provider with primary practice located at 1205 S Grange Ave Ste 407 , Sioux Falls SD 57105-0410. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bacon, Ross Noel can be contacted via phone (605) 328-8900.

Contact Information

Primary practice address
1205 S Grange Ave Ste 407 Sioux Falls SD 57105-0410
Phone: (605) 328-8900
Fax: (605) 328-8901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28247 Iowa
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 28247 Iowa
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 28247 Iowa
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 28247 Iowa
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4302 South Dakota

Profile Details

NPI number 1366528838
LBN Legal business name Bacon, Ross Noel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 22nd, 2013 - about 11 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 1366528838 NPPES
Nebraska Other 10025572500 MEDICAID
Nebraska Other 4992607 MEDICAID
Nebraska Other 71249 MEDICAID

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