Tam, Susan Beth

Tam, Susan Beth is an individual health care provider with primary practice located at 911 E 9 Mile Rd , Ferndale MI 48220-1934. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tam, Susan Beth can be contacted via phone (248) 336-4000.

Contact Information

Primary practice address
911 E 9 Mile Rd Ferndale MI 48220-1934
Fax: (248) 336-9137
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5010013747 Michigan

Profile Details

NPI number 1801873237
LBN Legal business name Tam, Susan Beth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Aug 5th, 2014 - about 10 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 1801873237 NPPES
Michigan MEDICAID 4645569

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