SearchMichigan101YP2500X

Scott Banghart

NPI 1811353717 · on the registry since 2016 · sole proprietor

Practice

Address
181 W Michigan Ave
Suite 3
Paw Paw, MI 49079
Phone
(269) 657-6025
Organisation at this address
Mapleview Consultation Center Pc
Associated Therapy Consultants Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan