Bacon, Miranda Nicole
Bacon, Miranda Nicole is an sole proprietor health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bacon, Miranda Nicole can be contacted via phone (703) 776-6652.Contact Information
Primary practice address
3300 Gallows Rd
Falls Church VA 22042-3307
Phone: (703) 776-6652
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0116033753 | Virginia |
Profile Details
| NPI number | 1366066169 |
|---|---|
| LBN Legal business name | Bacon, Miranda Nicole |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2020 |
| Last updated | Jun 8th, 2020 - 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.
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