| Dana A Beech Llc | |
|
441 Swartz Ct Ionia MI 48846-2157 | |
| (616) 523-6537 | |
| (616) 523-6536 |
| Full Name | Dana A Beech Llc |
|---|---|
| Speciality | Social Worker |
| Location | 441 Swartz Ct, Ionia, Michigan |
| Authorized Official Name and Position | Dana Beech (OWNER) |
| Authorized Official Contact | 6165236537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana A Beech Llc 441 Swartz Ct Ionia MI 48846-2157 Ph: (616) 523-6537 | Dana A Beech Llc 441 Swartz Ct Ionia MI 48846-2157 Ph: (616) 523-6537 |
| NPI Number | 1376803098 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 04/08/2021 |
| Certification Date | 04/08/2021 |
| Medicare PECOS PAC ID | 2567628548 |
|---|---|
| Medicare Enrollment ID | O20120718000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376803098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801085930 (Michigan) | Primary |
| Provider Name | Dana A Beech |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174889984 PECOS PAC ID: 2365608353 Enrollment ID: I20120718000885 |
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