Yoder, Susan D

Yoder, Susan D is an individual health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Yoder, Susan D can be contacted via phone (616) 455-5270.

Contact Information

Primary practice address
300 68Th St Se Grand Rapids MI 49548-6927
Phone: (616) 455-5270
Fax: (616) 455-5460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704232041 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704232041 Michigan

Profile Details

NPI number 1295721967
LBN Legal business name Yoder, Susan D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jun 5th, 2013 - about 11 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 1295721967 NPPES
Michigan Other 5008766360 BCBS
Michigan MEDICAID 4517854 BCBS

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