Marcus Bacon is a Physical Therapist in Berlin, Connecticut. Marcus Bacon practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Marcus Bacon is 1821105693. The last update date is 2020-01-23.
Marcus Bacon's current location address is 1138 Farmington Ave, Berlin, Connecticut. You can contact this provider via phone number 8608295511. The mailing address for Marcus Bacon is 1138 Farmington Ave, Berlin, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marcus Bacon |
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Address | 1138 Farmington Ave, Berlin, Connecticut |
Phone Number | 8608295511 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1821105693 |
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Provider Enumeration Date | 2006-08-25 |
Last Updated Date | 2020-01-23 |
Provider Mailing Address Detail
Address | 1138 Farmington Ave |
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City | Berlin |
State | Connecticut (CT) |
Post Code | 6037 |
Phone Number | 8608295511 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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7144 | CT | LICENSE# |
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What is the unique identifier code issued to Marcus Bacon by the Centers for Medicare & Medicaid Services?
The Marcus Bacon has been assigned the NPI (National Provider Identifier) 1821105693. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Marcus Bacon is physically located?
The Marcus Bacon is physically situated at the following address: 1138 Farmington Ave, Berlin, CT, 6037.
What is Marcus Bacon's area of expertise and its corresponding taxonomy classification?
The Marcus Bacon's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
When did Marcus Bacon receive its 1821105693 assignment?
The Marcus Bacon was assigned its 1821105693 on 2006-08-25, which is the date when this unique identifier was issued to the organization.
As of what date were the Marcus Bacon's details last updated?
The information pertaining to the Marcus Bacon, including its address, specialty, and other details, was most recently updated on 2020-01-23.
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