Allen, Susan

Allen, Susan is an individual health care provider with primary practice located at 1949 W 12 Mile Rd Ste 100 Beaumont Geriatric Services, Berkley MI 48072-1868. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Allen, Susan can be contacted via phone (248) 551-1756.

Contact Information

Primary practice address
1949 W 12 Mile Rd Ste 100 Beaumont Geriatric Services Berkley MI 48072-1868
Phone: (248) 551-1756
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301065763 Michigan

Profile Details

NPI number 1134198203
LBN Legal business name Allen, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 7th, 2016 - 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 1134198203 NPPES
Michigan MEDICAID 4266950
Michigan Other 0F349850

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