Smith, Susan M
Smith, Susan M is an individual health care provider with primary practice located at 790 Kensington Ln , Bloomfield Hills MI 48304-3744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Smith, Susan M can be contacted via phone (734) 241-3891.Contact Information
Primary practice address
790 Kensington Ln
Bloomfield Hills MI 48304-3744
Phone: (734) 241-3891
Fax: (734) 241-0014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4704168305 | Michigan |
Profile Details
| NPI number | 1013996479 |
|---|---|
| LBN Legal business name | Smith, Susan M |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Mar 8th, 2021 - about 3 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 | 1013996479 | NPPES |
| Michigan | Other | 430F374030 | BCBS PIN |
| Michigan | MEDICAID | 4603925 10 | BCBS PIN |
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