Ellenberg, Maury Ruben

Ellenberg, Maury Ruben is an individual health care provider with primary practice located at 28455 Haggerty Rd Suite 200, Novi MI 48377-2982. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Ellenberg, Maury Ruben can be contacted via phone (248) 893-3200.

Contact Information

Primary practice address
28455 Haggerty Rd Suite 200 Novi MI 48377-2982
Phone: (248) 893-3200
Fax: (248) 893-2950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301034191 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 4301034191 Michigan
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 4301034191 Michigan

Profile Details

NPI number 1245228790
LBN Legal business name Ellenberg, Maury Ruben
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Dec 29th, 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 1245228790 NPPES
Michigan MEDICAID 4212207

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