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NPI Code Detail

MEDICARE: REBECCA ANN FLINT BSW

MEDICARE: REBECCA ANN FLINT BSW
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 Worker6802062987MI

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 : 1639261498
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ANN FLINT BSW
Provider Business Mailing Address
First Line : 5025 W WOODS RD
Second Line :
City : SIDNEY
State : MI
Zip : 48885-9720
Country : US
Telephone Number : 989-328-2191
Fax Number :
Provider Business Practice Location Address
First Line : 375 APPLE TREE DR
Second Line :
City : IONIA
State : MI
Zip : 48846-7506
Country : US
Telephone Number : 616-527-1790
Fax Number : 616-527-0538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 07/09/2007

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Directions to “ REBECCA ANN FLINT BSW” Practice Location

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