Individual provider · Type 1 NPI

Jillian Bacon

Electroneurodiagnostic Specialist/Technologist · Livonia, MI

NPI number 1780128579 Active

Practice location

30057 8 Mile Rd
Livonia, MI 48152-1893

Call (214) 269-3875 Map

Fax (903) 328-6568

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1780128579

Jillian Bacon's National Provider Identifier is 1780128579, issued on Dec 13, 2016. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Livonia, MI. The record was last updated on Dec 13, 2016.