Clark, Susan Louise

Clark, Susan Louise is an sole proprietor health care provider with primary practice located at 5701 Bow Pointe Dr Suite 225, Clarkston MI 48346-3198. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clark, Susan Louise can be contacted via phone (248) 384-8300.

Contact Information

Primary practice address
5701 Bow Pointe Dr Suite 225 Clarkston MI 48346-3198
Phone: (248) 384-8300
Fax: (248) 384-8309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704201015 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704201015 Michigan

Profile Details

NPI number 1043525025
LBN Legal business name Clark, Susan Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2010
Last updated Aug 13th, 2010 - about 16 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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