NPI Code Details Logo

NPI 1366012098

NPI 1366012098 : SUTTER R BITTERMAN LLMSW : BAY CITY, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366012098
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SUTTER R BITTERMAN LLMSW
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/25/2021
-----------------------------------------------------
    Last Update Date     |    05/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    690 S TRUMBULL ST 
-----------------------------------------------------
    City                 |    BAY CITY
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48708-7692
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    989-922-5700
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    501 LAPEER AVE 
-----------------------------------------------------
    City                 |    SAGINAW
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48607-1203
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    989-759-6464
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    6851120052
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.