Attisha, Elliott S

Attisha, Elliott S is an individual health care provider with primary practice located at 32100 Telegraph Rd Suite 110, Bingham Farms MI 48025-2452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Attisha, Elliott S can be contacted via phone (248) 644-1221.

Contact Information

Primary practice address
32100 Telegraph Rd Suite 110 Bingham Farms MI 48025-2452
Phone: (248) 644-1221
Fax: (248) 644-2748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 5101013649 Michigan

Profile Details

NPI number 1578567830
LBN Legal business name Attisha, Elliott S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Apr 30th, 2009 - about 15 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 1578567830 NPPES
Michigan MEDICAID 433451311

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