Bacon, Katie Lee

Bacon, Katie Lee is an individual health care provider with primary practice located at 7501 O St Suite 100, Lincoln NE 68510-2485. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bacon, Katie Lee can be contacted via phone (402) 477-0651.

Contact Information

Primary practice address
7501 O St Suite 100 Lincoln NE 68510-2485
Phone: (402) 477-0651
Fax: (402) 477-0332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1721 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3399 Nebraska

Profile Details

NPI number 1073652111
LBN Legal business name Bacon, Katie Lee
Credentials MA MASTER OF ARTS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Dec 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073652111 NPPES
Nebraska Other 96065 BCBS

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