MEDICARE: STRATEGIC TRANSTITIONS CONSULTING

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	174400000X	Specialist	822957	MI

General Provider Information

NPI Number	:	1477603165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRATEGIC TRANSTITIONS CONSULTING

Provider Business Mailing Address
First Line	:	PO BOX 2711
Second Line	:
City	:	BELLEVILLE
State	:	MI
Zip	:	48112-2711
Country	:	US
Telephone Number	:	734-218-1661
Fax Number	:

Provider Business Practice Location Address
First Line	:	49071 DENTON RD APT 206
Second Line	:
City	:	BELLEVILLE
State	:	MI
Zip	:	48111-2107
Country	:	US
Telephone Number	:	734-218-1661
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MRS. VALERIE A BONNER
Credential	:
Telephone Number	:	734-218-1661

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	08/22/2020

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