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
Phone: (734) 712-8000
Fax: (734) 712-8010
Website:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1245237387 | NPPES |
| Michigan | Other | 0E01050 | BCBS GROUP PIN |
| Michigan | Other | 7451595 | BCBS GROUP PIN |
| Michigan | Other | 5008604980 | BCBS GROUP PIN |
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