Mary L Bacon is a Chiropractor in Oakland, California. Mary L Bacon practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mary L Bacon is 1255439402. The last update date is 2007-07-08.
Mary L Bacon's current location address is 230 Grand Ave, Oakland, California. You can contact this provider via phone number 5106631145 and fax number 5106631146. The mailing address for Mary L Bacon is 230 Grand Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary L Bacon |
|---|---|
| Address | 230 Grand Ave, Oakland, California |
| Phone Number | 5106631145 |
| Fax Number | 5106631146 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1255439402 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 230 Grand Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946104589 |
| Phone Number | 5106631145 |
| Fax Number | 5106631146 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 16993 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the Mary L Bacon's 1255439402?
The Mary L Bacon's NPI (National Provider Identifier) Number is 1255439402. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary L Bacon's physical address?
The Mary L Bacon is physically located at 230 Grand Ave, in the city of Oakland, CA, with the postal code 946104589.
What is Mary L Bacon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary L Bacon is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date was the 1255439402 assigned to Mary L Bacon?
The Mary L Bacon was issued its 1255439402 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary L Bacon most recently updated or revised?
The details related to Mary L Bacon, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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