Healthcare Provider Details

I. General information

NPI: 1609709757
Provider Name (Legal Business Name): CASSIE JO BITLER CHW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 E EDGERTON ST
HOWARD CITY MI
49329-9493
US

IV. Provider business mailing address

506 E EDGERTON ST
HOWARD CITY MI
49329-9493
US

V. Phone/Fax

Practice location:
  • Phone: 231-580-1639
  • Fax:
Mailing address:
  • Phone: 231-580-1639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: