Coccitti, Ellen

Coccitti, Ellen is an individual health care provider with primary practice located at 2300 Haggerty Rd Suite 2060, West Bloomfield MI 48323-2184. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Coccitti, Ellen can be contacted via phone (248) 960-4245.

Contact Information

Primary practice address
2300 Haggerty Rd Suite 2060 West Bloomfield MI 48323-2184
Fax: (248) 960-7733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101012722 Michigan

Profile Details

NPI number 1598784480
LBN Legal business name Coccitti, Ellen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 4th, 2015 - about 9 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 1598784480 NPPES
Michigan MEDICAID 4357877

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