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1326026006

NPI Code Detail

MEDICARE: DR. JOSEPH BETRO D.O.

MEDICARE: DR. JOSEPH BETRO D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	5101009687	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	11271944	OTHER		CAQH
3	0158201854	OTHER		BCBS PIN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	JB009687	OTHER		BCBS

General Provider Information

NPI Number	:	1326026006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH BETRO D.O.

Provider Business Mailing Address
First Line	:	6245 INKSTER RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-4001
Country	:	US
Telephone Number	:	734-458-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	6245 INKSTER RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-4001
Country	:	US
Telephone Number	:	734-458-3300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	01/07/2016

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Directions to “ DR. JOSEPH BETRO D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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