NPI 1003147810
Corey Eugene Bacon
Practice location
- Address
- 200 E Chisholm St Suite C, Alpena, MI 49707-5800
- Phone
- (989) 916-7243
- Mailing address
- 637 W Washington Ave, Alpena, MI 49707-2775
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1003147810
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Jan 2010
- Record last updated
- 2 Feb 2015
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.