Bacon, Patrick D
Bacon, Patrick D is an individual health care provider with primary practice located at 3801 E Florida Ave , Denver CO 80210-2571. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Bacon, Patrick D can be contacted via phone (720) 763-9001.Contact Information
Primary practice address
3801 E Florida Ave
Denver CO 80210-2571
Phone: (720) 763-9001
Fax: (720) 763-9785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 26048 | Colorado |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 26048 | Colorado |
Profile Details
| NPI number | 1184713844 |
|---|---|
| LBN Legal business name | Bacon, Patrick D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | May 11th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184713844 | NPPES |
| Colorado | MEDICAID | 19724268 |
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