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Andrew Michael Bacon, MS,AT,ATC
Specialist in Dayton, Ohio
NPI 1801219548

Andrew Michael Bacon is a Specialist based in Dayton, OH. Andrew Michael Bacon practices in Dayton, OH and has the professional credentials of MS,AT,ATC. The NPI Number for Andrew Michael Bacon is 1801219548 and holds a License No. 004263 (Ohio).

The current practice location address for Andrew Michael Bacon is 300 College Park Cronin Athletic Center Room 101, Dayton, OH and can be reached out via phone at 951-541-4697 and via fax at 937-229-5448.

Location: 300 College Park Cronin Athletic Center Room 101, Dayton, OH, 45469-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801219548
Provider Name
Andrew Michael Bacon
Credential
MS,AT,ATC
Provider Entity Type
Individual
Gender
Male
Address
300 College Park Cronin Athletic Center Room 101, Dayton, OH, 45469-0001
Phone Number
951-541-4697
Fax Number
937-229-5448
Provider Enumeration Date
01/31/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2000007147 01 NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFIACTION
institution
Provider Business Practice Location Address Details
Address
300 College Park Cronin Athletic Center Room 101
City
Dayton
State
Ohio
Zip
45469-0001
Phone Number
951-541-4697
Fax Number
937-229-5448
person
Provider Business Mailing Address Details
Address
300 College Park Cronin Athletic Center Room 101
City
Dayton
State
Ohio
Zip
45469-0001
Phone Number
951-541-4697
Fax Number
937-229-5448
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
004263 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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