Michelson, Susanne Elisabeth

Michelson, Susanne Elisabeth is an sole proprietor health care provider with primary practice located at 4661 N Parkside Dr , Wauwatosa WI 53225-4447. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Michelson, Susanne Elisabeth can be contacted via phone (414) 464-9785.

Contact Information

Primary practice address
4661 N Parkside Dr Wauwatosa WI 53225-4447
Phone: (414) 464-9785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 49287 - 030 Wisconsin
Nursing Service Providers / Home Health 163WH0200X 49287-030 Wisconsin

Profile Details

NPI number 1053526475
LBN Legal business name Michelson, Susanne Elisabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2007
Last updated Jul 9th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053526475 NPPES
Wisconsin MEDICAID 35026900

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