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Contact Information

ALVIN C BACON, DO
598 GREAT RD
LOWER LEVEL
NORTH SMITHFIELD, RI02896-6810
 Phone: 401-534-6784
 Fax: 401-534-5460
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALVIN C BACON · (Male)

NPI Number 1104836568
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/09/2006
Last updated 03/07/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # DO 00461
  • RI Medicaid 9025378
  • Other 588384 AETNA
  • Other 400400 BLUE CHIP
  • Other 2460971003 CIGNA
  • Other 0100801 UHC
  • Other 795932 USFHP
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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