Beck, Susan Ellen

Beck, Susan Ellen is an individual health care provider with primary practice located at 2100 4Th St , Jackson MI 49203-4518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Beck, Susan Ellen can be contacted via phone (517) 787-4330.

Contact Information

Primary practice address
2100 4Th St Jackson MI 49203-4518
Phone: (517) 787-4330
Fax: (517) 787-4861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704219112 Michigan

Profile Details

NPI number 1265533764
LBN Legal business name Beck, Susan Ellen
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265533764 NPPES
Michigan Other 83 20030 PHP

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