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Susan E Doyle

Social Worker

Behavioral Health & Social Service Providers

231 Trowbridge St, Suite 12, Allegan, MI 49010-1359

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN DOYLE.

Based on the most recent information from CMS, provider Susan E Doyle is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1578649349
Provider Type
Individual
Full Name
Doyle, Susan E
Credential
MSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/27/2006
Last Updated
7/8/2007

Contact Information

Practice Location

231 Trowbridge St, Suite 12, Allegan, MI 49010-1359

(269) 832-0172

Unlisted Fax

Mailing Location

20 E 23rd St, Holland, MI 49423-4814

(269) 832-0172

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801088790 Michigan

Susan E Doyle

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

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