Harris, Susan Louise
Harris, Susan Louise is an individual health care provider with primary practice located at 911 Brown St 700 Kms Place, Ann Arbor MI 48104-3203. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Harris, Susan Louise can be contacted via phone (734) 936-2047.Contact Information
Primary practice address
911 Brown St 700 Kms Place
Ann Arbor MI 48104-3203
Phone: (734) 936-2047
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301080319 | Michigan |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 4301080319 | Michigan |
Profile Details
| NPI number | 1194787424 |
|---|---|
| LBN Legal business name | Harris, Susan Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Oct 24th, 2014 - about 12 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 | 1194787424 | NPPES |
| Michigan | MEDICAID | 101377820 |
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