Sus Professional Medical Service Pllc

LBN: Sus Professional Medical Service Pllc
Sus Professional Medical Service Pllc is an health care organization with primary practice located at 455 S Livernois Rd Ste A-23, Rochester Hills MI 48307-2578. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Sus Professional Medical Service Pllc can be contacted via phone (248) 652-9666, or through Su, Huei Yen via phone (248) 652-9666.

Contact Information

Primary practice address
455 S Livernois Rd Ste A-23 Rochester Hills MI 48307-2578
Fax: (248) 652-9660
Website:
Authorized official contact:
Name: Su, Huei Yen Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301043793 Michigan

Profile Details

NPI number 1700969417
LBN Legal business name Sus Professional Medical Service Pllc
DBA Doing business as
Authorized official Su, Huei Yen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700969417 NPPES
Michigan MEDICAID 4404206

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