Healthcare Provider Details
I. General information
NPI: 1700129285
Provider Name (Legal Business Name): DAVID MARTIN MCFARLAND LLBSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/03/2013
Last Update Date: 04/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 HANCOCK ST
SAGINAW MI
48602-4224
US
IV. Provider business mailing address
500 HANCOCK ST
SAGINAW MI
48602-4224
US
V. Phone/Fax
- Phone: 989-792-9732
- Fax: 989-797-3477
- Phone: 989-792-9732
- Fax: 989-797-3477
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | L1991732 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: