Cleereman, Susan Jean

Cleereman, Susan Jean is an individual health care provider with primary practice located at 15238 Michigan Ave , Dearborn MI 48126-2933. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Cleereman, Susan Jean can be contacted via phone (313) 581-0684.

Contact Information

Primary practice address
15238 Michigan Ave Dearborn MI 48126-2933
Phone: (313) 581-0684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901014390 Michigan

Profile Details

NPI number 1508829771
LBN Legal business name Cleereman, Susan Jean
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 9th, 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 1508829771 NPPES
Michigan Other 1958212070 BLUE CROSS MEDICAL ID#
Michigan MEDICAID 2721984 BLUE CROSS MEDICAL ID#

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