Bacon, Opal M

Bacon, Opal M is an individual health care provider with primary practice located at 1 Ford Place, 1C Outpatient Psychiatry, Detroit MI 48202. She recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as her primary health care specialty. Bacon, Opal M can be contacted via phone (313) 556-7882.

Contact Information

Primary practice address
1 Ford Place, 1C Outpatient Psychiatry Detroit MI 48202
Phone: (313) 556-7882
Fax: (313) 874-6650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Psychiatric 1835P1300X 5302044753 Michigan

Profile Details

NPI number 1285177493
LBN Legal business name Bacon, Opal M
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2016
Last updated Nov 21st, 2016 - about 9 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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