Bevan, Marlene A

Bevan, Marlene A is an individual health care provider with primary practice located at 872 Munson Ave Ste D , Traverse City MI 49686-3638. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Bevan, Marlene A can be contacted via phone (231) 238-3111.

Contact Information

Primary practice address
872 Munson Ave Ste D Traverse City MI 49686-3638
Phone: (231) 238-3111
Fax: (231) 238-3214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X Michigan
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X

Profile Details

NPI number 1679518153
LBN Legal business name Bevan, Marlene A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Dec 17th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679518153 NPPES
Michigan Other 540B802900 BLUE CROSS BLUE SHIELD
Michigan Other 640B827240 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 804707456 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 804707465 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 903380558 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 902575198 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 804707447 BLUE CROSS BLUE SHIELD

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