Vergilio, Susan Rose

Vergilio, Susan Rose is an individual health care provider with primary practice located at 13850 E 12 Mile Rd Ste 2A, Warren MI 48088-3730. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Vergilio, Susan Rose can be contacted via phone (586) 552-4499.

Contact Information

Primary practice address
13850 E 12 Mile Rd Ste 2A Warren MI 48088-3730
Phone: (586) 552-4499
Fax: (586) 552-4878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5201003254 Michigan

Profile Details

NPI number 1447398516
LBN Legal business name Vergilio, Susan Rose
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
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 1447398516 NPPES
Michigan Other 5201003254 LICENSE

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