Susewitz, David

Susewitz, David is an sole proprietor health care provider with primary practice located at 2644 W Jefferson Ave , Trenton MI 48183-2803. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Susewitz, David can be contacted via phone (734) 675-4060.

Contact Information

Primary practice address
2644 W Jefferson Ave Trenton MI 48183-2803
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1417008350
LBN Legal business name Susewitz, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Feb 22nd, 2008 - about 17 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 1417008350 NPPES
Michigan Other 900H21185 BLUE CROSS

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