Taylor, Susan Johnson

Taylor, Susan Johnson is an individual health care provider with primary practice located at Horizon Medical, Pc 1445 Sheldon, Suite 301, Grand Haven MI 49417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Taylor, Susan Johnson can be contacted via phone (616) 847-2500.

Contact Information

Primary practice address
Horizon Medical, Pc 1445 Sheldon, Suite 301 Grand Haven MI 49417
Fax: (616) 847-6719
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301048050 Michigan

Profile Details

NPI number 1821093816
LBN Legal business name Taylor, Susan Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1821093816 NPPES
Massachusetts MEDICAID 4685205

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