Adams, Allen Russell

Adams, Allen Russell is an sole proprietor health care provider with primary practice located at 17352 W 12 Mile Rd Suite 100, Southfield MI 48076-2119. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Adams, Allen Russell can be contacted via phone (248) 559-0730.

Contact Information

Primary practice address
17352 W 12 Mile Rd Suite 100 Southfield MI 48076-2119
Fax: (248) 569-7626
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801088547 Michigan

Profile Details

NPI number 1013175587
LBN Legal business name Adams, Allen Russell
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2008
Last updated May 30th, 2008 - about 16 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 1013175587 NPPES
Michigan Other 6801088547 STATE OF MICHIGAN

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