Austin Cecil Bacon
Austin Cecil Bacon is a Student in an Organized Health Care Education/Training Program in Oakland, California. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
1411 E 31st StOakland, CA 94602-1018
Phone: (301) 919-5497
Fax: (510) 535-7313
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1750220752 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 25, 2026 |
| Last updated in NPPES | March 25, 2026 |
| Certification date | March 25, 2026 |
| Mailing address | 1411 E 31st St, Oakland, CA 94602-1018 |
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