Individual provider · Type 1 NPI

Mary L. Bacon, DC

Chiropractor · Oakland, CA

NPI number 1255439402 Active

Practice location

230 Grand Ave, Suite 301C
Oakland, CA 94610-4589

Call (510) 663-1145 Map

Fax (510) 663-1146

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X16993 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1255439402

Mary L. Bacon, DC's National Provider Identifier is 1255439402, issued on Sep 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.