Harold, Susan Elaine

Harold, Susan Elaine is an sole proprietor health care provider with primary practice located at 6001 W Outer Dr Suite 429, Detroit MI 48235-2614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Harold, Susan Elaine can be contacted via phone (313) 861-3500.

Contact Information

Primary practice address
6001 W Outer Dr Suite 429 Detroit MI 48235-2614
Fax: (313) 861-2697
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X SH032837 Michigan

Profile Details

NPI number 1093780611
LBN Legal business name Harold, Susan Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Jan 31st, 2014 - about 10 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 1093780611 NPPES
Michigan MEDICAID 2097527

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