Longe, Susan H

Longe, Susan H is an individual health care provider with primary practice located at 435 N Leroy St , Fenton MI 48430-2731. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Longe, Susan H can be contacted via phone (810) 629-3552.

Contact Information

Primary practice address
435 N Leroy St Fenton MI 48430-2731
Fax: (810) 629-3571
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301059373 Michigan

Profile Details

NPI number 1194827857
LBN Legal business name Longe, Susan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 21st, 2022 - about 3 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 1194827857 NPPES
Michigan MEDICAID 1194827857

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