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NPI Code Detail

MEDICARE: MR. ANDREW BINGMON LMSW

MEDICARE: MR. ANDREW BINGMON LMSW
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
1104100000XSocial Worker6801080470MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598806085
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW BINGMON LMSW
Provider Business Mailing Address
First Line : 62 W 7 MILE RD
Second Line :
City : DETROIT
State : MI
Zip : 48203-1967
Country : US
Telephone Number : 313-893-6172
Fax Number : 313-893-0064
Provider Business Practice Location Address
First Line : 62 W 7 MILE RD
Second Line :
City : DETROIT
State : MI
Zip : 48203-1967
Country : US
Telephone Number : 313-893-6172
Fax Number : 313-893-0064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/09/2007

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