Whalio Doctors

NPI 1073699567

R Bacon Enterprises INC

Organisation Durable Medical Equipment & Medical Supplies Evansville, IN

Practice location

Address
1217 Washington Square, Evansville, IN 47715
Phone
(812) 471-0351
Fax
(812) 471-0379
Mailing address
966 N Baker Road, Boonville, IN 47601

Authorised official

Name
Karen a Bacon
Title
Vice President
Phone
(812) 897-1904

Registered specialties

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X Licence FDA#1835621 (IN)

Registry record

NPI
1073699567
Entity type
Organization
NPI issued
27 Oct 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.