EDDIE BEALE (NPI# 1578012761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578012761 |
| Entity Type | Individual |
| Full Name | EDDIE BEALE |
| Practice Address |
621 Philip St Detroit MI 48215-3261 |
| Practice Telephone | 3134439165 |
| Mailing Telephone | 3134439165 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
621 PHILIP ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48215-3261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
| 1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
| 1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
| 1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
| 1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
| 1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
| 1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
| Find all providers in zip 48215 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952889743 | Myesha Gibson Wilson | Technician, Other | 22457 Kendall St, Detroit, MI 48223-2542 | 2018-08-02 |
| 1871071647 | Deidre Flowers | Technician, Other | 6776 Stahelin Ave # 23, Detroit, MI 48228-3465 | 2018-08-02 |
| 1750828489 | Charneil Tuggle | Technician, Other | 19017 Pierson St, Detroit, MI 48219-2517 | 2017-01-19 |
| 1720523293 | Eno Esu | Technician, Other | 8136 Appoline St, Detroit, MI 48228-4002 | 2016-12-20 |
| 1710420195 | Cassandra Wells | Technician, Other | 11691 Beaverland, Detroit, MI 48239-1358 | 2016-12-02 |
| 1306389945 | Arnesha Bernice Jennings | Technician, Other | 19210 Robson St, Detroit, MI 48235-1949 | 2016-11-30 |
| 1962945444 | Diane Christiine Issa | Technician, Other | 5081 Garland St, Detroit, MI 48213-3366 | 2016-11-30 |
| 1164974358 | Xavier Robertson | Technician, Other | 18451 Northlawn St, Detroit, MI 48221-2019 | 2016-11-04 |
| 1518418631 | Luebertha Mcclellan | Technician, Other | 15346 Dexter Ave, Detroit, MI 48238-2127 | 2016-10-24 |
| 1558812891 | Tommie D Dotson | Technician, Other | 19360 Renfrew Rd, Detroit, MI 48221-1836 | 2016-10-21 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.