Provider Demographics
NPI:1538584784
Name:BILLINGS, DANA (CONSULTANT)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:CONSULTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 ALPHA ST.
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910
Mailing Address - Country:US
Mailing Address - Phone:517-402-4744
Mailing Address - Fax:
Practice Address - Street 1:1616 ALPHA ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1802
Practice Address - Country:US
Practice Address - Phone:517-402-4744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker