Smith, Joanne Bacon
Smith, Joanne Bacon is an individual health care provider with primary practice located at 310 Medical Dr Ste 102 , Carmel IN 46032-3078. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Joanne Bacon can be contacted via phone (317) 415-5960.Contact Information
Primary practice address
310 Medical Dr Ste 102
Carmel IN 46032-3078
Phone: (317) 415-5960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01050969A | Indiana |
Profile Details
| NPI number | 1518943729 |
|---|---|
| LBN Legal business name | Smith, Joanne Bacon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Aug 10th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518943729 | NPPES |
| Indiana | MEDICAID | 200338230 |
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