Bacus, Irene

Bacus, Irene is an individual health care provider with primary practice located at 3330 Centre Lake Dr , Ontario CA 91761-1211. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bacus, Irene can be contacted via phone (909) 974-4704.

Contact Information

Primary practice address
3330 Centre Lake Dr Ontario CA 91761-1211
Phone: (909) 974-4704
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 625372 California

Profile Details

NPI number 1003012691
LBN Legal business name Bacus, Irene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Jul 8th, 2007 - about 19 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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