Tiffany S. Bowden, CADC

Individual provider Active NPI Case Manager/Care Coordinator · Sault Sainte Marie, MI

NPI 1629311824 · NPPES record last updated Apr 5, 2013

Key facts

NPI
1629311824
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2655 Ashmun St
Sault Sainte Marie, MI 49783-3711
Phone
(906) 632-9809
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2655 Ashmun St
Sault Sainte Marie, MI 49783-3711

Mailing address

PO Box 1403
Sault Sainte Marie, MI 49783-7403

Other providers in Sault Sainte Marie, MI

All providers in Sault Sainte Marie, MI · Case Manager/Care Coordinator in Michigan

Sources for this page

Verify at the official NPI Registry.