Sam, Susan J

Sam, Susan J is an individual health care provider with primary practice located at 468 Cadieux Rd , Grosse Pointe MI 48230-1507. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sam, Susan J can be contacted via phone (313) 473-1605.

Contact Information

Primary practice address
468 Cadieux Rd Grosse Pointe MI 48230-1507
Phone: (313) 473-1605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 4704257975 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704257975 Michigan

Profile Details

NPI number 1225565377
LBN Legal business name Sam, Susan J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2017
Last updated Jan 6th, 2021 - about 4 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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