Siba S Bato
Individual provider Active NPI Pharmacy Technician · Utica, MI
NPI 1639764855 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1639764855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 5303015690 (MI)
- Practice address
- 45600 Utica Park Blvd
Utica, MI 48315-5917 - Phone
- (586) 739-5472
- NPI assigned
- Mar 9, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5303015690 | MI | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303015690 | MI | Yes |
Addresses
Primary practice location
45600 Utica Park Blvd
Utica, MI 48315-5917
Mailing address
45600 Utica Park Blvd
Utica, MI 48315-5917
Phone (586) 739-5489
Other providers in Utica, MI
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- Aaron Daniel Bahlman-Clippard
- Bam Management
- Krista Rene Barr
- Ross Alan Beckley
- Cammy E Beglin
- Better Life Wellness & Recovery Counseling LLC
- Hemal Madhusudan Bhagat
- Binge Beauty Inc.
All providers in Utica, MI · Pharmacy Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.