Bacon, Del Gene

Bacon, Del Gene is an individual health care provider with primary practice located at 645 3Rd Ave Sw , Pine City MN 55063-1468. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bacon, Del Gene can be contacted via phone (320) 629-1362.

Contact Information

Primary practice address
645 3Rd Ave Sw Pine City MN 55063-1468
Phone: (320) 629-1362
Fax: (320) 629-3454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302602 Minnesota

Profile Details

NPI number 1760772586
LBN Legal business name Bacon, Del Gene
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2011
Last updated Apr 13th, 2011 - about 15 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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