Basic Information
Provider Information
NPI: 1982356358
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANKER
FirstName: BRITT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3665 BAY RD
Address2:  
City: SAGINAW
State: MI
PostalCode: 486032445
CountryCode: US
TelephoneNumber: 2485241270
FaxNumber:  
Practice Location
Address1: 3665 BAY RD
Address2:  
City: SAGINAW
State: MI
PostalCode: 486032445
CountryCode: US
TelephoneNumber: 2485248801
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/26/2022
LastUpdateDate: 01/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X MIY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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