Basic Information
| Provider Information | |||||||||
| NPI: | 1578635470 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEGIAN | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6300 W MICHIGAN AVE | ||||||||
| Address2: | H19 | ||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48917 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5178861246 | ||||||||
| FaxNumber: | 5178861246 | ||||||||
| Practice Location | |||||||||
| Address1: | 790 EAST COLUMBIA | ||||||||
| Address2: | CARE FREE MEDICAL INC | ||||||||
| City: | MASON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48854 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5172440120 | ||||||||
| FaxNumber: | 5172440163 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.