Park, Susan H

Park, Susan H is an individual health care provider with primary practice located at 330 W Michigan Ave , Jackson MI 49201-2121. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Park, Susan H can be contacted via phone (517) 787-7920.

Contact Information

Primary practice address
330 W Michigan Ave Jackson MI 49201-2121
Phone: (517) 787-7920
Fax: (517) 787-2440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6801064663 Michigan

Profile Details

NPI number 1710007497
LBN Legal business name Park, Susan H
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 18 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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