Peterson, Susan

Peterson, Susan is an sole proprietor health care provider with primary practice located at 18000 W 9 Mile Rd Ste 525 , Southfield MI 48075-4080. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Peterson, Susan can be contacted via phone (248) 327-6196.

Contact Information

Primary practice address
18000 W 9 Mile Rd Ste 525 Southfield MI 48075-4080
Fax:
Website:

Health care specialties

Profile Details

NPI number 1134888118
LBN Legal business name Peterson, Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2021
Last updated Apr 30th, 2024 - about 2 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 1134888118 NPPES
Michigan Other 4704310011 NURSING LICENSE NUMBER

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