Ellis-Crenshaw, Irice

Ellis-Crenshaw, Irice is an sole proprietor health care provider with primary practice located at 17344 W 12 Mile Rd Ste 201 , Southfield MI 48076-6321. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Ellis-Crenshaw, Irice can be contacted via phone (586) 277-8491.

Contact Information

Primary practice address
17344 W 12 Mile Rd Ste 201 Southfield MI 48076-6321
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902019162 Michigan

Profile Details

NPI number 1396410353
LBN Legal business name Ellis-Crenshaw, Irice
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2021
Last updated Aug 12th, 2021 - 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.

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