Wilson, Susan D

Wilson, Susan D is an individual health care provider with primary practice located at 110 Beech St , Tawas City MI 48763-8314. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Wilson, Susan D can be contacted via phone (989) 362-8196.

Contact Information

Primary practice address
110 Beech St Tawas City MI 48763-8314
Phone: (989) 362-8196
Fax: (989) 362-0967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3501003110 Michigan

Profile Details

NPI number 1558375956
LBN Legal business name Wilson, Susan D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 14th, 2009 - 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 1558375956 NPPES
Michigan MEDICAID 1558375956

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