Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHEL LARS BACON
Active Sole ProprietorBehavioral Health, Residential · CHEYENNE, WY
Registration Details
- NPI Number
- 1205132586
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2011 (15.226637372357 yrs)
- Last Updated
- Feb 2, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 W 27TH STCHEYENNE, WY, 820013041Browse WY providers · Browse ZIP 82001
- Phone
- 3075290164
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in CHEYENNE, WY
| Name | Credential | NPI |
|---|---|---|
| MRS. KATHERINE FLORES | — | 1447305933 |
| MS. JENNIFER JAMES ROSENTRETER | R.N. | 1982855904 |
| JEANNETTE RUTH NORRID | — | 1801041777 |
| TYLER JAMES ESP | — | 1891940763 |
| CINDY JENSEN | — | 1922253434 |
| MS. MEGAN KEARNEY | RN | 1902040421 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.