Bacon, Shelley Mae
Bacon, Shelley Mae is an individual health care provider with primary practice located at 4979 Harlem Rd , Amherst NY 14226-2547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bacon, Shelley Mae can be contacted via phone (716) 923-4380.Contact Information
Primary practice address
4979 Harlem Rd
Amherst NY 14226-2547
Phone: (716) 923-4380
Fax: (716) 923-4384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 342993 | New York |
Profile Details
| NPI number | 1669966065 |
|---|---|
| LBN Legal business name | Bacon, Shelley Mae |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2018 |
| Last updated | Jun 19th, 2018 - about 8 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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