Provider Demographics
NPI:1568819159
Name:WEINSTEN, BETH
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:WEINSTEN
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 1:3134 BOSTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-6503
Mailing Address - Country:US
Mailing Address - Phone:517-410-5546
Mailing Address - Fax:
Practice Address - Street 1:3134 BOSTON BLVD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-6503
Practice Address - Country:US
Practice Address - Phone:517-410-5546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other