Noble, Susan C

Noble, Susan C is an individual health care provider with primary practice located at 550 Munson Avenue, Suite 200 , Traverse City MI 49686. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Noble, Susan C can be contacted via phone (231) 935-8717.

Contact Information

Primary practice address
550 Munson Avenue, Suite 200 Traverse City MI 49686
Phone: (231) 935-8717
Fax: (231) 935-9230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301406284 Michigan

Profile Details

NPI number 1770692873
LBN Legal business name Noble, Susan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 4th, 2013 - about 11 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 1770692873 NPPES
Michigan Other 0702821712 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 1997138 BLUE CROSS BLUE SHIELD
Michigan Other M008816 BLUE CROSS BLUE SHIELD
Michigan Other 38-2170687 BLUE CROSS BLUE SHIELD
Michigan Other 070002527 BLUE CROSS BLUE SHIELD

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