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Contact Information

AMANDA J BACON
200 HAWKINS DR
IOWA CITY, IA52242-1009
 Phone: 319-353-6360
 Fax: 319-353-7006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMANDA J BACON · (Female)

NPI # 1477370856
Status Active
Credentials
Entity Individual
Enumeration date 09/25/2024
Last updated 03/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # 129395
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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