NAN BETH ALT — OIG Excluded Provider (GRAND RAPIDS, MI, 1128a1)
NAN BETH ALT — OIG Excluded Provider (GRAND RAPIDS, MI, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: NAN BETH ALT; Type: Individual; Provider category: PHYSICIAN (MD, DO).
| Name | NAN BETH ALT |
|---|---|
| Type | Individual |
| Provider category | PHYSICIAN (MD, DO) |
| Specialty | PSYCHIATRY |
| NPI | 1417139692 |
| City | GRAND RAPIDS |
| State | MI |
| ZIP | 49504 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2016-01-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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