Abellana, Eduardo

Abellana, Eduardo is an individual health care provider with primary practice located at 11180 Gratiot Ave Siute C, Detroit MI 48213-1363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abellana, Eduardo can be contacted via phone (313) 372-7111.

Contact Information

Primary practice address
11180 Gratiot Ave Siute C Detroit MI 48213-1363
Phone: (313) 372-7111
Fax: (313) 372-5509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301049903 Michigan

Profile Details

NPI number 1215929906
LBN Legal business name Abellana, Eduardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Mar 5th, 2012 - about 13 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 1215929906 NPPES
Michigan MEDICAID 4079134-10

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