Allen, Susan
Allen, Susan is an individual health care provider with primary practice located at 1949 W 12 Mile Rd Ste 100 Beaumont Geriatric Services, Berkley MI 48072-1868. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Allen, Susan can be contacted via phone (248) 551-1756.Contact Information
Primary practice address
1949 W 12 Mile Rd Ste 100 Beaumont Geriatric Services
Berkley MI 48072-1868
Phone: (248) 551-1756
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4301065763 | Michigan |
Profile Details
| NPI number | 1134198203 |
|---|---|
| LBN Legal business name | Allen, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Apr 7th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134198203 | NPPES |
| Michigan | MEDICAID | 4266950 | |
| Michigan | Other | 0F349850 |
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