Basic Information
| Provider Information | |||||||||
| NPI: | 1336423219 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BEHLING-ROSA | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | ALLYN | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BEHLING | ||||||||
| OtherFirstName: | B. | ||||||||
| OtherMiddleName: | ALLYN | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | D.O. | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 400 MEDICAL PARK DR | ||||||||
| Address2: | |||||||||
| City: | WATERVLIET | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490989225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2694633600 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 400 MEDICAL PARK DR | ||||||||
| Address2: | |||||||||
| City: | WATERVLIET | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490989225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2694633600 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2011 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 204D00000X | 271609 | NY | N | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine & OMM | 2081H0002X | 271609 | NY | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Hospice and Palliative Medicine | 208100000X | 271609 | NY | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 208100000X | 5101023529 | MI | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.