Susan Pope
Individual provider Active NPI Other Technician · Bath, MI
NPI 1003295148 · NPPES record last updated May 21, 2015
Key facts
- NPI
- 1003295148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 11747 Upton Rd
11747 Upton Rd
Bath, MI 48808-9435 - Phone
- (517) 204-3822
- NPI assigned
- May 21, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
11747 Upton Rd
11747 Upton Rd
Bath, MI 48808-9435
Mailing address
11747 Upton Rd
11747 Upton Rd
Bath, MI 48808-9435
Phone (517) 204-3822
Other providers in Bath, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.