Halonen, Susan Madeira

Halonen, Susan Madeira is an individual health care provider with primary practice located at 9 Heritage Oak Ln Suite 4, Battle Creek MI 49015-4281. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Halonen, Susan Madeira can be contacted via phone (269) 979-3400.

Contact Information

Primary practice address
9 Heritage Oak Ln Suite 4 Battle Creek MI 49015-4281
Fax: (269) 979-3484
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11940 Michigan

Profile Details

NPI number 1811176613
LBN Legal business name Halonen, Susan Madeira
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811176613 NPPES
Michigan MEDICAID 2952462

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