Individual
DOUGLAS PATRICK BEVILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39901 TRADITIONS DR, NORTHVILLE, MI 48168-9493
(248) 305-4400
(248) 305-4401
Mailing address
36053 ALLEN ST, LIVONIA, MI 48154-5212
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000232
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502000232
—
MI
05
—
5502000232
—
MI
Enumeration date
03/06/2018
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us