Sullivan, Susan B

Sullivan, Susan B is an individual health care provider with primary practice located at 775 S Main St , Chelsea MI 48118-1370. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Sullivan, Susan B can be contacted via phone (734) 475-1311.

Contact Information

Primary practice address
775 S Main St Chelsea MI 48118-1370
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 080906 Michigan

Profile Details

NPI number 1831136944
LBN Legal business name Sullivan, Susan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jun 5th, 2008 - about 16 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 1831136944 NPPES
Michigan Other SS080906 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4482866 BLUE CROSS BLUE SHIELD

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