Degroot, Susan Marie
Degroot, Susan Marie is an sole proprietor health care provider with primary practice located at 205 S Front St Ste D , Marquette MI 49855-4629. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Degroot, Susan Marie can be contacted via phone (906) 235-1800.Contact Information
Primary practice address
205 S Front St Ste D
Marquette MI 49855-4629
Phone: (906) 235-1800
Fax: (906) 273-1050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801013446 | Michigan |
Profile Details
| NPI number | 1477545747 |
|---|---|
| LBN Legal business name | Degroot, Susan Marie |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jun 10th, 2020 - about 4 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 | 1477545747 | NPPES |
| Michigan | Other | 164009 | VALUE OPTIONS PROVIDER |
| Michigan | Other | 8008951700 | VALUE OPTIONS PROVIDER |
| Michigan | Other | 800011368 | VALUE OPTIONS PROVIDER |
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