Bevilacqua, Douglas Patrick

Bevilacqua, Douglas Patrick is an individual health care provider with primary practice located at 39901 Traditions Dr , Northville MI 48168-9493. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bevilacqua, Douglas Patrick can be contacted via phone (248) 305-4400.

Contact Information

Primary practice address
39901 Traditions Dr Northville MI 48168-9493
Phone: (248) 305-4400
Fax: (248) 305-4401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502000232 Michigan

Profile Details

NPI number 1891297883
LBN Legal business name Bevilacqua, Douglas Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2018
Last updated Jul 21st, 2022 - about 3 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 1891297883 NPPES
Michigan MEDICAID 5502000232
Michigan Other 5502000232

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