Jillian Bacon
Specialist/Technologist, Other, Electroneurodiagnostic in Livonia, MI. Individual provider (NPI-1).
NPI number1780128579
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1780128579
- Entity type
- Individual (NPI-1)
- Name
- Jillian Bacon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2016
- Last updated
- Dec 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | Yes |
Practice location
30057 8 Mile RdLivonia, MI 48152-1893
Phone 214-269-3875 · Fax 903-328-6568
Mailing address
30057 8 Mile RdLivonia, MI 48152-1893
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Other Electroneurodiagnostic Specialist/Technologist providers in Livonia, MI
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- David BuggiaNPI 1669916458
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- Jared PattonNPI 1164966958
- Taylor SharpNPI 1043754849
All 9 Electroneurodiagnostic Specialist/Technologist providers in Livonia · All 6,099 providers in Livonia
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