Dr. Elizabeth A. Bacon
Pediatric Pulmonologist
1 Childrens Plz
Dayton
, Ohio 45404-1815
Dr. Elizabeth A. Bacon
Pediatric Pulmonologist
1 Childrens Plz
Dayton
, Ohio 45404-1815
(937) 641-3000
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Dr. Elizabeth A. Bacon
- 1 Childrens Plz
- Dayton, OH
- Zip : 45404-1815
- Phone : (937) 641-3000
Second Address
- Dr. Elizabeth A. Bacon
- 1 Childrens Plz
- Dayton, OH
- Zip : 45404-1815
- Fax : (937) 641-4500
- Phone : (937) 641-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 34.009107 | OH |
National Provider Identifier
| NPI | 1205816303 |
|---|---|
| Provider Name | Dr. Elizabeth A. Bacon |
| First Address | Dayton, OH 45404-1815 |
| Second Address | Dayton, OH 45404-1815 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2006 |
| Last Update Date | 15/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0064748 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.