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JAELLE TAMARA BACON DC NPI 1548740533


NPI Information

NPI: 1548740533
Provider Name: JAELLE TAMARA BACON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Organization: MARCINIAK CHIROPRACTIC PLLC Address:
2625 DELAWARE AVE STE 102
BUFFALO, NY
ZIP 14216
Phone: (716) 335-9711
Get Directions

Jaelle Tamara Bacon, DC is a chiropractor in Buffalo, NY with 6 years of experience. The provider is 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 interrelationship with other body systems. Jaelle Tamara Bacon, DC NPI is 1548740533. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2625 DELAWARE AVE STE 102
BUFFALO, NY
ZIP 14216-705
Phone: (716) 335-9711

The enumeration date for this NPI number is 8/19/2018 and was last updated on 8/19/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor013139NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.