Bacon, Jeffrey Paul

Bacon, Jeffrey Paul is an individual health care provider with primary practice located at 343 Elm St Ste 402 , Reno NV 89503-4541. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Bacon, Jeffrey Paul can be contacted via phone (775) 770-7640.

Contact Information

Primary practice address
343 Elm St Ste 402 Reno NV 89503-4541
Phone: (775) 770-7640
Fax: (775) 770-7650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 8951 Nevada
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 8951 Nevada
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 8951 Nevada

Profile Details

NPI number 1215910757
LBN Legal business name Bacon, Jeffrey Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Feb 18th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215910757 NPPES
Nevada MEDICAID 002016729

Popular Providers