Provider Demographics
NPI:1073088829
Name:BELLAMY, BARBARA SHEIRE
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SHEIRE
Last Name:BELLAMY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35000 WARREN RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-6223
Mailing Address - Country:US
Mailing Address - Phone:810-588-0674
Mailing Address - Fax:
Practice Address - Street 1:35000 WARREN RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-6223
Practice Address - Country:US
Practice Address - Phone:810-588-0674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier