Bacon, Jill E

Bacon, Jill E is an individual health care provider with primary practice located at 6401 Jaycox Rd , North Ridgeville OH 44039-1611. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bacon, Jill E can be contacted via phone (440) 327-1800.

Contact Information

Primary practice address
6401 Jaycox Rd North Ridgeville OH 44039-1611
Phone: (440) 327-1800
Fax: (440) 327-1533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6570 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6570 Ohio

Profile Details

NPI number 1770704041
LBN Legal business name Bacon, Jill E
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 27th, 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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