Bacon, Marilyn A

Bacon, Marilyn A is an individual health care provider with primary practice located at 820C Prospect Hill Rd , Windsor CT 06095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Bacon, Marilyn A can be contacted via phone (860) 285-8251.

Contact Information

Primary practice address
820C Prospect Hill Rd Windsor CT 06095
Phone: (860) 285-8251
Fax: (860) 687-1774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 017505 Connecticut

Profile Details

NPI number 1659349835
LBN Legal business name Bacon, Marilyn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 13th, 2026 - about 3 months 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 1659349835 NPPES
Connecticut Other 010017505CT02 ANTHEM BCBS
Connecticut Other 710294 ANTHEM BCBS

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