Bean, Barry

Bean, Barry is an sole proprietor health care provider with primary practice located at 21721 W 11 Mile Rd , Southfield MI 48076-3717. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bean, Barry can be contacted via phone (248) 355-4888.

Contact Information

Primary practice address
21721 W 11 Mile Rd Southfield MI 48076-3717
Phone: (248) 355-4888
Fax: (313) 355-2565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X BB000712 Michigan

Profile Details

NPI number 1336179506
LBN Legal business name Bean, Barry
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Sep 9th, 2008 - about 18 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 1336179506 NPPES
Michigan Other 4856318250 BCBSM
Michigan MEDICAID 1507818 BCBSM

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