Ellis, Brian

Ellis, Brian is an individual health care provider with primary practice located at 19000 Eastwood Dr , Harper Woods MI 48225-2080. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Ellis, Brian can be contacted via phone (313) 515-7002.

Contact Information

Primary practice address
19000 Eastwood Dr Harper Woods MI 48225-2080
Phone: (313) 515-7002
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703113969 Michigan

Profile Details

NPI number 1992105878
LBN Legal business name Ellis, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2014
Last updated Aug 28th, 2014 - about 10 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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