ANDREW MICHAEL BACON MS AT ATC NPI 1801219548

NPI Information

Andrew Michael Bacon, MS, AT, ATC is a specialist in Dayton, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Andrew Michael Bacon, MS, AT, ATC NPI is 1801219548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 COLLEGE PARK CRONIN ATHLETIC CENTER ROOM 101
DAYTON, OH
ZIP 45469-001
Phone: (951) 541-4697
Fax: (937) 229-5448

The enumeration date for this NPI number is 1/31/2014 and was last updated on 1/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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