Bacon, William John

Bacon, William John is an sole proprietor health care provider with primary practice located at 902 E 12Th Ave , Webster SD 57274-2300. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is his primary health care specialty. Bacon, William John can be contacted via phone (956) 451-1907.

Contact Information

Primary practice address
902 E 12Th Ave Webster SD 57274-2300
Phone: (956) 451-1907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 2061050 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 008793 New York

Profile Details

NPI number 1902168669
LBN Legal business name Bacon, William John
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2012
Last updated Jul 15th, 2020 - about 5 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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