Bean, Barry
Bean, Barry is an sole proprietor health care provider with primary practice located at 21721 W 11 Mile Rd , Southfield MI 48076-3717. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bean, Barry can be contacted via phone (248) 355-4888.Contact Information
Primary practice address
21721 W 11 Mile Rd
Southfield MI 48076-3717
Phone: (248) 355-4888
Fax: (313) 355-2565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | BB000712 | Michigan |
Profile Details
| NPI number | 1336179506 |
|---|---|
| LBN Legal business name | Bean, Barry |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Sep 9th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336179506 | NPPES |
| Michigan | Other | 4856318250 | BCBSM |
| Michigan | MEDICAID | 1507818 | BCBSM |
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