Bethany Byman
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Negaunee, MI
NPI 1922593532 · NPPES record last updated Jun 26, 2018
Key facts
- NPI
- 1922593532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Practice address
- 115 Superior View LN
Negaunee, MI 49866-9416 - Phone
- (906) 361-0298
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
115 Superior View LN
Negaunee, MI 49866-9416
Mailing address
115 Superior View LN
Negaunee, MI 49866-9416
Phone (906) 361-0298
Other providers in Negaunee, MI
- Bianca Nicole Bohen
- Eddy Arnold Bourdeau
- Hillary Brandenburg
- Matthew Brandow
- Loni Ann Burnett
- Breanne Rene Carlson
- Marli Jean Carlson
- Erin Leigh Carpenter
- Denise Marie Carroll
- Richard Cooley III
All providers in Negaunee, MI · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2018. 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.