Athens, Ellen K
Athens, Ellen K is an sole proprietor health care provider with primary practice located at 15100 S Plaza Dr , Taylor MI 48180-5203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Athens, Ellen K can be contacted via phone (734) 287-3700.Contact Information
Primary practice address
15100 S Plaza Dr
Taylor MI 48180-5203
Phone: (734) 287-3700
Fax: (734) 287-1859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | EA007598 | Michigan |
Profile Details
| NPI number | 1760444228 |
|---|---|
| LBN Legal business name | Athens, Ellen K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Oct 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760444228 | NPPES |
| Michigan | MEDICAID | 1323893 |
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