IndividualActive
Jillian Bacon
NPI 1780128579 · Electroneurodiagnostic Specialist/Technologist · Livonia, MI
Provider details
- NPI number
- 1780128579
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
30057 8 Mile Rd
Livonia, MI 48152-1893
Phone: (214) 269-3875
Fax: (903) 328-6568
Mailing address
30057 8 Mile Rd
Livonia, MI 48152-1893
Registry dates
- Enumerated
- 2016-12-13
- Last updated
- 2016-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.