Tyshaun Bland, BS; MA is a
Technician, Other based in Harper Woods, Michigan. Tyshaun Bland is licensed to practice in * (Not Available) (license number ) and his current practice location is
19927 Country Club, Harper Woods, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 627-8719.
NPI number for Tyshaun Bland is 1902207624 and his current mailing address is 19927 Country Club Dr, Harper Woods, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902207624.
Healthcare Provider's Profile
Full Name | Tyshaun Bland |
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Gender | Male |
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Speciality | Technician, Other |
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Location | 19927 Country Club, Harper Woods, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902207624
- Provider Enumeration Date: 09/12/2014
- Last Update Date: 11/18/2016
Medical Identifiers
Medical identifiers for Tyshaun Bland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902207624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2-01445 (Michigan) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
247200000X | Technician, Other | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyshaun Bland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tyshaun Bland, BS; MA 19927 Country Club Dr, Harper Woods, MI 48225-1621 Ph: (313) 627-8719 | Tyshaun Bland, BS; MA 19927 Country Club, Harper Woods, MI 48225-1154 Ph: (313) 627-8719 |
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