| Susan Imhof Llc | |
|
8010 Grand River Rd Ste 300 Brighton MI 48114-9303 | |
| (810) 772-4262 | |
| Not Available |
| Full Name | Susan Imhof Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8010 Grand River Rd Ste 300, Brighton, Michigan |
| Authorized Official Name and Position | Susan Imhof (OWNER) |
| Authorized Official Contact | 8106237226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Imhof Llc 8493 Saddlewood Dr Brighton MI 48116-5204 Ph: (810) 623-7226 | Susan Imhof Llc 8010 Grand River Rd Ste 300 Brighton MI 48114-9303 Ph: (810) 772-4262 |
| NPI Number | 1255059424 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 0143698654 |
|---|---|
| Medicare Enrollment ID | O20221114003135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255059424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Susan K Imhof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609167162 PECOS PAC ID: 2062644958 Enrollment ID: I20140408000571 |
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