| Bc Price Professional Services Llc | |
|
230 Michigan St Ne Ste# 102 Grand Rapids MI 49503-2550 | |
| (616) 540-7089 | |
| Not Available |
| Full Name | Bc Price Professional Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 230 Michigan St Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Barbara Clayton Price (PRESIDENT) |
| Authorized Official Contact | 6165407089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bc Price Professional Services Llc 2422 Abbington Dr Se Grand Rapids MI 49506-5402 Ph: (616) 540-7089 | Bc Price Professional Services Llc 230 Michigan St Ne Ste# 102 Grand Rapids MI 49503-2550 Ph: (616) 540-7089 |
| NPI Number | 1205073913 |
|---|---|
| Provider Enumeration Date | 01/16/2009 |
| Last Update Date | 01/16/2009 |
| Medicare PECOS PAC ID | 7719035583 |
|---|---|
| Medicare Enrollment ID | O20090505000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205073913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801065990 (Michigan) | Primary |
| Provider Name | Barbara C Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285715599 PECOS PAC ID: 9931257797 Enrollment ID: I20090505000175 |
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