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Contact Information

LISA BINGHAM
32100 TELEGRAPH RD STE 185
BINGHAM FARMS, MI48025-2453
 Phone: 248-712-4266
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for LISA BINGHAM · (Female)

NPI # 1740728401
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2017
Last updated 08/16/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 1-17-26744
  • MI License # 61754
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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