Beathard, Mark Brian
Beathard, Mark Brian is an sole proprietor health care provider with primary practice located at 8623 N. Wayne Road, Suite 310 Adult Outpatient Services For Smi, Westland MI 48185. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Beathard, Mark Brian can be contacted via phone (734) 425-0636.Contact Information
Primary practice address
8623 N. Wayne Road, Suite 310 Adult Outpatient Services For Smi
Westland MI 48185
Phone: (734) 425-0636
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | B363585098663 | Michigan |
Profile Details
NPI number | 1336677533 |
---|---|
LBN Legal business name | Beathard, Mark Brian |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2017 |
Last updated | Jun 1st, 2017 - about 8 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.
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