Randall R Bacon in Kirksville - Professional
Randall R Bacon - NPI 1265577613
Randall R Bacon is a Professional in Kirksville, Missouri. Randall R Bacon practices all healthcare services and medical treatments related to Professional. The NPI Number for Randall R Bacon is 1265577613. The last update date is 2007-07-08.
Randall R Bacon's current location address is 900 E Laharpe St, Kirksville, Missouri. You can contact this provider via phone number 6606651962. The mailing address for Randall R Bacon is 900 E Laharpe St, Kirksville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall R Bacon |
|---|---|
| Address | 900 E Laharpe St, Kirksville, Missouri |
| Phone Number | 6606651962 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1265577613 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 900 E Laharpe St |
|---|---|
| City | Kirksville |
| State | Missouri (MO) |
| Post Code | 635014520 |
| Phone Number | 6606651962 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2001025449 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the Randall R Bacon's 1265577613?
The Randall R Bacon's NPI (National Provider Identifier) Number is 1265577613. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Randall R Bacon located?
The Randall R Bacon is located at 900 E Laharpe St, Kirksville, MO 635014520.
What is the Randall R Bacon's area of specialization and corresponding taxonomy classification?
The Randall R Bacon's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did Randall R Bacon receive its 1265577613 assignment from the Centers for Medicare & Medicaid Services?
The Randall R Bacon was assigned its 1265577613 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Randall R Bacon's information last updated?
The Randall R Bacon's information was last updated on 2007-07-08.