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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831136944 | NPPES |
Michigan | Other | SS080906 | BLUE CROSS BLUE SHIELD |
Michigan | MEDICAID | 4482866 | BLUE CROSS BLUE SHIELD |
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