Provider Demographics
NPI:1083098446
Name:BEHLING, ANNALISA (ND)
Entity Type:Individual
Prefix:DR
First Name:ANNALISA
Middle Name:
Last Name:BEHLING
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6007 MILLER RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:SWARTZ CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:48473-1901
Mailing Address - Country:US
Mailing Address - Phone:810-233-5300
Mailing Address - Fax:
Practice Address - Street 1:6007 MILLER RD
Practice Address - Street 2:SUITE 12
Practice Address - City:SWARTZ CREEK
Practice Address - State:MI
Practice Address - Zip Code:48473-1901
Practice Address - Country:US
Practice Address - Phone:810-233-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1109175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath