Mckinnon, Susan Helen
Mckinnon, Susan Helen is an individual health care provider with primary practice located at 3601 W 13 Mile Rd Fsc, Royal Oak MI 48073-6712. 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. Mckinnon, Susan Helen can be contacted via phone (248) 423-2405.Contact Information
Primary practice address
3601 W 13 Mile Rd Fsc
Royal Oak MI 48073-6712
Phone: (248) 423-2405
Fax: (248) 423-2576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 4704143131 | Michigan |
Profile Details
| NPI number | 1992711865 |
|---|---|
| LBN Legal business name | Mckinnon, Susan Helen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Dec 12th, 2008 - about 17 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 | 1992711865 | NPPES |
| Michigan | Other | 500F318190 | BSBSM |
| Michigan | MEDICAID | 4726040 | BSBSM |
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