Stevens, Susan Jane

Stevens, Susan Jane is an individual health care provider with primary practice located at 15160 Levan Rd , Livonia MI 48154-5027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stevens, Susan Jane can be contacted via phone (734) 462-0090.

Contact Information

Primary practice address
15160 Levan Rd Livonia MI 48154-5027
Fax: (313) 383-6078
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101011918 Michigan

Profile Details

NPI number 1861465098
LBN Legal business name Stevens, Susan Jane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Oct 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861465098 NPPES
Michigan Other 080149624 RAILROAD MEDICARE
Michigan MEDICAID 4172611 RAILROAD MEDICARE

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