Illikman, Susan R.

Illikman, Susan R. is an individual health care provider with primary practice located at 5325 Elliott Dr , Ypsilanti MI 48197-8633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Illikman, Susan R. can be contacted via phone (734) 712-8000.

Contact Information

Primary practice address
5325 Elliott Dr Ypsilanti MI 48197-8633
Fax: (734) 712-8010
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704199428 Michigan

Profile Details

NPI number 1245237387
LBN Legal business name Illikman, Susan R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jan 29th, 2009 - about 15 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 1245237387 NPPES
Michigan Other 0E01050 BCBS GROUP PIN
Michigan Other 7451595 BCBS GROUP PIN
Michigan Other 5008604980 BCBS GROUP PIN

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