Startup, Susan L
Startup, Susan L is an sole proprietor health care provider with primary practice located at 1901 Niles Ave Ste 102 , Saint Joseph MI 49085-1615. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Startup, Susan L can be contacted via phone (269) 982-7200.Contact Information
Primary practice address
1901 Niles Ave Ste 102
Saint Joseph MI 49085-1615
Phone: (269) 982-7200
Fax: (269) 982-0202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801087797 | Michigan |
Profile Details
| NPI number | 1962562397 |
|---|---|
| LBN Legal business name | Startup, Susan L |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jun 14th, 2024 - about 3 months 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 | 1962562397 | NPPES |
| Michigan | MEDICAID | 1712452 |
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