NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

IRENE BACUS
3330 CENTRE LAKE DR
ONTARIO, CA91761-1211
 Phone: 909-974-4704
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for IRENE BACUS · (Female)

NPI Number 1003012691
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 625372
Hospital affiliation(s) Not Available
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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