Nicki A Bacon in Wheat Ridge - Pediatrics

Nicki A Bacon - NPI 1801815691

Nicki A Bacon is a Pediatrics in Wheat Ridge, Colorado. Nicki A Bacon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Nicki A Bacon is 1801815691. The last update date is 2012-05-30.

Nicki A Bacon's current location address is 3555 Lutheran Parkway, Wheat Ridge, Colorado. You can contact this provider via phone number 7202843700 and fax number 3034670525. The mailing address for Nicki A Bacon is 3555 Lutheran Parkway, Wheat Ridge, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicki A Bacon
Address 3555 Lutheran Parkway, Wheat Ridge, Colorado
Phone Number 7202843700
Fax Number 3034670525
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1801815691
Provider Enumeration Date 2006-07-19
Last Updated Date 2012-05-30

Provider Mailing Address Detail

Address 3555 Lutheran Parkway
City Wheat Ridge
State Colorado (CO)
Post Code 800336018
Phone Number 7202843700
Fax Number 3034670525

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 36690
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
17206359 CO --

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FAQs about Nicki A Bacon

What is the unique identifier code issued to Nicki A Bacon by the Centers for Medicare & Medicaid Services (CMS)?

The Nicki A Bacon has been assigned the NPI (National Provider Identifier) 1801815691. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Nicki A Bacon is physically located?

The Nicki A Bacon is situated at the following address: 3555 Lutheran Parkway, Wheat Ridge, CO 800336018.

What is Nicki A Bacon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Nicki A Bacon is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Nicki A Bacon receive the assignment of its 1801815691 from the Centers for Medicare & Medicaid Services?

The Nicki A Bacon was issued its 1801815691 by the Centers for Medicare & Medicaid Services on 2006-07-19.

When was the information regarding Nicki A Bacon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Nicki A Bacon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-30.

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