Ajlouni, Elizabeth Ann

Ajlouni, Elizabeth Ann is an individual health care provider with primary practice located at 11800 E 12 Mile Rd , Warren MI 48093-3472. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Therapeutic Radiology is her primary health care specialty. Ajlouni, Elizabeth Ann can be contacted via phone (586) 573-5186.

Contact Information

Primary practice address
11800 E 12 Mile Rd Warren MI 48093-3472
Fax: (586) 573-5298
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 4301403157 Michigan
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X 4301403157 Michigan

Profile Details

NPI number 1720304918
LBN Legal business name Ajlouni, Elizabeth Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Apr 13th, 2010 - about 14 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 1720304918 NPPES
Michigan MEDICAID BA689270

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