Roelofs-Haughn, Susan Kay
Roelofs-Haughn, Susan Kay is an sole proprietor health care provider with primary practice located at 402 S Union St , Traverse City MI 49684-5754. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roelofs-Haughn, Susan Kay can be contacted via phone (231) 342-1002.Contact Information
Primary practice address
402 S Union St
Traverse City MI 49684-5754
Phone: (231) 342-1002
Fax: (231) 947-4311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801016382 | Michigan |
Profile Details
| NPI number | 1881741700 |
|---|---|
| LBN Legal business name | Roelofs-Haughn, Susan Kay |
| Credentials | LMSW, ACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881741700 | NPPES |
| Michigan | MEDICAID | 03923291 |
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