Bacheller, Susan Margaret
Bacheller, Susan Margaret is an individual health care provider with primary practice located at 4190 24Th Ave Ste 204 , Fort Gratiot MI 48059-3884. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bacheller, Susan Margaret can be contacted via phone (810) 216-1000.Contact Information
Primary practice address
4190 24Th Ave Ste 204
Fort Gratiot MI 48059-3884
Phone: (810) 216-1000
Fax: (810) 216-3138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 4704136802 | Michigan |
Profile Details
| NPI number | 1477529600 |
|---|---|
| LBN Legal business name | Bacheller, Susan Margaret |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Apr 8th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477529600 | NPPES |
| Michigan | Other | 4704136802 | LICENSE |
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