Dionne, Susan E

Dionne, Susan E is an individual health care provider with primary practice located at 3287 Racquet Club Dr Unit A , Traverse City MI 49684-4702. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Dionne, Susan E can be contacted via phone (231) 935-0355.

Contact Information

Primary practice address
3287 Racquet Club Dr Unit A Traverse City MI 49684-4702
Fax: (231) 935-0360
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801065815 Michigan

Profile Details

NPI number 1558579912
LBN Legal business name Dionne, Susan E
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Sep 26th, 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 1558579912 NPPES
Michigan Other 0897325 BLUE CROSS BLUE SHIELD

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