John R Bacon, Md, Pa

LBN: John R Bacon, Md, Pa
John R Bacon, Md, Pa is an health care organization with primary practice located at 120 Sister Pierre Dr Ste 201 , Towson MD 21204-7525. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. John R Bacon, Md, Pa can be contacted via phone (410) 321-0284, or through Bacon, John Richard via phone (410) 321-0284.

Contact Information

Primary practice address
120 Sister Pierre Dr Ste 201 Towson MD 21204-7525
Phone: (410) 321-0284
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bacon, John Richard Doctor of Medicine (MD)
Phone: (410) 321-0284

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X D0028727 Maryland

Profile Details

NPI number 1801103072
LBN Legal business name John R Bacon, Md, Pa
DBA Doing business as
Authorized official Bacon, John Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2010
Last updated Sep 8th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801103072 NPPES
Maryland MEDICAID 26692-1800
Maryland Other B66916

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