NPI

Jennifer Anita Bacon

NPI 1447686233

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PTA
Type
Individual
Enumeration date
2013-09-24
Last updated
2013-09-24

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Specialties

Licenses

License OH
3022

Location

Practice location
804 S Mumaugh Rd
City
Lima OH
Postal code
45804-3569
Phone
(419) 225-9040

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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