Loretta Bantom

  • NPI 1013448059
According to our database, the NPI number for Loretta Bantom is 1013448059 and activated since 7 years ago. Loretta Bantom is an individual provider who specializes in Professional, and the primary practice location is 79 W Alexandrine St, Detroit, MI 48201. You can also contact Loretta Bantom via telephone number is (313) 831-5535. Provider NPI information was last updated on 03/22/2017.

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Overview of Loretta Bantom

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/22/2017
  • Last updated: 03/22/2017

Primary Scrop of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: 6401015420
  • License State: MI

Provider Mailing Address

  • Address: 79 W Alexandrine St
    Detroit, MI 48201
  • Phone: 313-831-5535
  • Fax: 313-831-2608

Provider Practice Location

  • Address: 79 W Alexandrine St
    Detroit, MI 48201
  • Phone: 313-831-5535
  • Fax: 313-831-2608

Scope of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: 6401015420
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Loretta Bantom?
  • A: The npi number for Loretta Bantom is 1013448059.
  • Q: What are Loretta Bantom's specialties?
  • A: Loretta Bantom's specialties are Professional and different specialities.
  • Q: What is the medical license for Loretta Bantom?
  • A: The medical license number for Loretta Bantom is 6401015420 and issued in MI in USA.
  • Q: Where is Loretta Bantom practice location?
  • A: Loretta Bantom is practicing at 79 W Alexandrine St, Detroit, MI 48201.
  • Q: How to contact Loretta Bantom?
  • A: You can contact Loretta Bantom via 313-831-5535.