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NPI Code Detail

MEDICARE: MS. BETTE ANN PLUMLEY OTR

MEDICARE: MS. BETTE ANN PLUMLEY OTR
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
1171W00000XContractor31000201AIN

General Provider Information

NPI Number : 1487838579
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BETTE ANN PLUMLEY OTR
Provider Business Mailing Address
First Line : 3523 WINSOR PL
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-8929
Country : US
Telephone Number : 219-663-0869
Fax Number :
Provider Business Practice Location Address
First Line : 8380 VIRGINIA ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6231
Country : US
Telephone Number : 219-769-9069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2007
Last Update Date : 12/25/2007

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