Bacon, Jaelle Tamara
Bacon, Jaelle Tamara is an individual health care provider with primary practice located at 2625 Delaware Ave Ste 102 , Buffalo NY 14216-1705. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bacon, Jaelle Tamara can be contacted via phone (716) 335-9711.Contact Information
Primary practice address
2625 Delaware Ave Ste 102
Buffalo NY 14216-1705
Phone: (716) 335-9711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 013139 | New York |
Profile Details
| NPI number | 1548740533 |
|---|---|
| LBN Legal business name | Bacon, Jaelle Tamara |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2018 |
| Last updated | Aug 19th, 2018 - about 8 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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