Individual provider · Type 1 NPI

Molly Bacon

Student in an Organized Health Care Education/Training Program · Erie, PA

NPI number 1669031027 Active

Practice location

201 State St
Erie, PA 16550-0002

Call (814) 490-1084 Map

Mailing address

6464 Fairoaks Cir
Fairview, PA 16415-1718

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669031027

Molly Bacon's National Provider Identifier is 1669031027, issued on Jun 10, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Erie, PA. The record was last updated on Jun 10, 2019.