Godell, Susan M
Godell, Susan M is an individual health care provider with primary practice located at 200 Arnett St Suite 200, Ypsilanti MI 48198. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Godell, Susan M can be contacted via phone (734) 484-7288.Contact Information
Primary practice address
200 Arnett St Suite 200
Ypsilanti MI 48198
Phone: (734) 484-7288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704118455 | Michigan |
Profile Details
| NPI number | 1306993753 |
|---|---|
| LBN Legal business name | Godell, Susan M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1306993753 | NPPES |
| Michigan | MEDICAID | 4270695 |
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