Hendrickson, Susan Colleen
Hendrickson, Susan Colleen is an sole proprietor health care provider with primary practice located at 1000 Washington Ave , Bay City MI 48707-9801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hendrickson, Susan Colleen can be contacted via phone (989) 667-6977.Contact Information
Primary practice address
1000 Washington Ave
Bay City MI 48707-9801
Phone: (989) 667-6977
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301060917 | Michigan |
Profile Details
| NPI number | 1902901366 |
|---|---|
| LBN Legal business name | Hendrickson, Susan Colleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Feb 2nd, 2016 - about 9 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 | 1902901366 | NPPES |
| Michigan | MEDICAID | 3273870 |
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