Bacon, Bryan Lee

Bacon, Bryan Lee is an sole proprietor health care provider with primary practice located at Cmr 459 Box 2403 , Apo AE 09139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bacon, Bryan Lee can be contacted via phone (314) 469-7775.

Contact Information

Primary practice address
Cmr 459 Box 2403 Apo AE 09139
Phone: (314) 469-7775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X DOS917 Hawaii

Profile Details

NPI number 1184600405
LBN Legal business name Bacon, Bryan Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Sep 30th, 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.

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