Wassenhove, Susan Marie

Wassenhove, Susan Marie is an individual health care provider with primary practice located at 812 W 4Th St , Mishawaka IN 46544-1738. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wassenhove, Susan Marie can be contacted via phone (574) 255-1604.

Contact Information

Primary practice address
812 W 4Th St Mishawaka IN 46544-1738
Phone: (574) 255-1604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1722 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601001412 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2692-23, Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4398 Arizona

Profile Details

NPI number 1861420341
LBN Legal business name Wassenhove, Susan Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Feb 23rd, 2011 - about 15 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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