| Janie Bishop Llc | |
|
549 Kingsley Trl Bloomfield Hills MI 48304-2317 | |
| (248) 709-5455 | |
| Not Available |
| Full Name | Janie Bishop Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 549 Kingsley Trl, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Janie Bishop (OWNER) |
| Authorized Official Contact | 2487095455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janie Bishop Llc 549 Kingsley Trl Bloomfield Hills MI 48304-2317 Ph: (248) 709-5455 | Janie Bishop Llc 549 Kingsley Trl Bloomfield Hills MI 48304-2317 Ph: (248) 709-5455 |
| NPI Number | 1033610076 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 03/30/2018 |
| Medicare PECOS PAC ID | 7315201050 |
|---|---|
| Medicare Enrollment ID | O20180507000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033610076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6801089907 (Michigan) | Primary |
| Provider Name | Donna Jane Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780191965 PECOS PAC ID: 8224392964 Enrollment ID: I20180507000536 |
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