Bacon, Benjamin Scott
Bacon, Benjamin Scott is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Bacon, Benjamin Scott can be contacted via phone (317) 944-4034.Contact Information
Primary practice address
705 Riley Hospital Dr
Indianapolis IN 46202-5109
Phone: (317) 944-4034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Indiana | |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01090630A | Indiana |
Profile Details
| NPI number | 1386263168 |
|---|---|
| LBN Legal business name | Bacon, Benjamin Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2020 |
| Last updated | Jun 23rd, 2023 - about 3 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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