Susalla, Derek
Susalla, Derek is an sole proprietor health care provider with primary practice located at 441 S Livernois Rd , Rochester Hills MI 48307-2584. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Susalla, Derek can be contacted via phone (248) 608-8800.Contact Information
Primary practice address
441 S Livernois Rd
Rochester Hills MI 48307-2584
Phone: (248) 608-8800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601008192 | Michigan |
Profile Details
| NPI number | 1508392796 |
|---|---|
| LBN Legal business name | Susalla, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2017 |
| Last updated | May 7th, 2017 - about 7 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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