Waite, Susan Marie

Waite, Susan Marie is an sole proprietor health care provider with primary practice located at 2404 Wildwood Ave , Jackson MI 49202-3927. She recently has only one registered license in Suppliers / Hearing Aid Equipment, which is considered as her primary health care specialty. Waite, Susan Marie can be contacted via phone (517) 788-7677.

Contact Information

Primary practice address
2404 Wildwood Ave Jackson MI 49202-3927
Phone: (517) 788-7677
Fax: (517) 788-7679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Hearing Aid Equipment 332S00000X 3501002419 Michigan

Profile Details

NPI number 1164753950
LBN Legal business name Waite, Susan Marie
Credentials NBC-HIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2010
Last updated Jan 19th, 2010 - about 16 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 1164753950 NPPES
Michigan Other 540C802820 BLUE CROSS AND BLUE SHIELD OF MICHIGAN
Michigan MEDICAID 905258069 BLUE CROSS AND BLUE SHIELD OF MICHIGAN

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