Bacon, William Gordan
Bacon, William Gordan is an individual health care provider with primary practice located at 935 Elizaville Ave , Flemingsburg KY 41041-9210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bacon, William Gordan can be contacted via phone (606) 849-3374.Contact Information
Primary practice address
935 Elizaville Ave
Flemingsburg KY 41041-9210
Phone: (606) 849-3374
Fax: (606) 845-0646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22690 | Kentucky |
Profile Details
| NPI number | 1457342354 |
|---|---|
| LBN Legal business name | Bacon, William Gordan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Dec 18th, 2015 - about 10 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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