Heinrich, Susan Patricia
Heinrich, Susan Patricia is an individual health care provider with primary practice located at 930 Blue Star Hwy , South Haven MI 49090-7758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Heinrich, Susan Patricia can be contacted via phone (269) 637-1115.Contact Information
Primary practice address
930 Blue Star Hwy
South Haven MI 49090-7758
Phone: (269) 637-1115
Fax: (269) 639-1314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 055672 | Michigan |
Profile Details
| NPI number | 1699887125 |
|---|---|
| LBN Legal business name | Heinrich, Susan Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 27th, 2023 - about last year |
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 | 1699887125 | NPPES |
| Michigan | Other | 5253094 | AETNA |
| Michigan | Other | 080H06004 | AETNA |
| Michigan | MEDICAID | 2647288 | AETNA |
| Michigan | Other | P53525 | AETNA |
| Michigan | Other | 0131170 | AETNA |
| Michigan | Other | 080027375 | AETNA |
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