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NPI Code Detail

MEDICARE: AMANDA BELCHER

MEDICARE:   AMANDA  BELCHER
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1144745944
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BELCHER
Provider Business Mailing Address
First Line : PO BOX 26
Second Line :
City : CLARKLAKE
State : MI
Zip : 49234-0026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 307 GOLDSMITH DR
Second Line :
City : CLARKLAKE
State : MI
Zip : 49234-5705
Country : US
Telephone Number : 517-529-3109
Fax Number : 517-529-3109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2017
Last Update Date : 08/14/2017

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Directions to “ AMANDA BELCHER ” Practice Location

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