Ernst, Susan D

Ernst, Susan D is an individual health care provider with primary practice located at 1500 East Medical Center Dr 9Th Floor Recp B, Ann Arbor MI 48109-4276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ernst, Susan D can be contacted via phone (734) 763-6295.

Contact Information

Primary practice address
1500 East Medical Center Dr 9Th Floor Recp B Ann Arbor MI 48109-4276
Phone: (734) 763-6295
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301061884 Michigan

Profile Details

NPI number 1720140023
LBN Legal business name Ernst, Susan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Apr 4th, 2012 - about 14 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 1720140023 NPPES
Michigan MEDICAID 4166070

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