MEDICARE: MR. CURTIS GENE BITMAN LLP

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	103T00000X	Psychologist	6301007271	MI

General Provider Information

NPI Number	:	1841346897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CURTIS GENE BITMAN LLP

Provider Business Mailing Address
First Line	:	PO BOX 249
Second Line	:	801 HAZEN STREET
City	:	PAW PAW
State	:	MI
Zip	:	49079-0249
Country	:	US
Telephone Number	:	269-657-5574
Fax Number	:	269-657-3474

Provider Business Practice Location Address
First Line	:	100 W MAIN ST
Second Line	:
City	:	BENTON HARBOR
State	:	MI
Zip	:	49022-3606
Country	:	US
Telephone Number	:	616-456-1443
Fax Number	:

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	03/18/2010

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