Professional Breastfeeding Support Llc is a
Registered Nurse - Lactation Consultant based in Waterford, Michigan. Professional Breastfeeding Support Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
4630 W Walton Blvd, Waterford, Michigan. It can be reached at their office (for appointments etc.) via phone at
(248) 795-1984.
NPI number for Professional Breastfeeding Support Llc is 1902266919 and their current mailing address is 4630 W Walton Blvd, Waterford, Michigan. Professional Breastfeeding Support Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1902266919.
Healthcare Provider's Profile
Full Name | Professional Breastfeeding Support Llc |
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Type | Facility |
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Speciality | Registered Nurse - Lactation Consultant |
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Location | 4630 W Walton Blvd, Waterford, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902266919
- Provider Enumeration Date: 03/03/2016
- Last Update Date: 03/03/2016
Medical Identifiers
Medical identifiers for Professional Breastfeeding Support Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902266919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
163WL0100X | Registered Nurse - Lactation Consultant | (* (Not Available)) | Primary |
174N00000X | Lactation Consultant, Non-rn | (* (Not Available)) | Secondary |
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. Professional Breastfeeding Support Llc 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 |
Professional Breastfeeding Support Llc 4630 W Walton Blvd, Waterford, MI 48329-3535 Ph: () - | Professional Breastfeeding Support Llc 4630 W Walton Blvd, Waterford, MI 48329-3535 Ph: (248) 795-1984 |
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