Provider Demographics
NPI:1174187512
Name:B & G HEALTH PLLC
Entity Type:Organization
Organization Name:B & G HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWABE
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:248-721-0405
Mailing Address - Street 1:31330 NORTHWESTERN HWY STE D
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2560
Mailing Address - Country:US
Mailing Address - Phone:248-918-2337
Mailing Address - Fax:
Practice Address - Street 1:31330 NORTHWESTERN HWY STE D
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2560
Practice Address - Country:US
Practice Address - Phone:248-918-2337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty