Ellis, Javon

Ellis, Javon is an individual health care provider with primary practice located at 41521 W 11 Mile Rd , Novi MI 48375-1803. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Eye and Vision Services Providers / Technician/Technologist. Eye and Vision Services Providers / Technician/Technologist is his primary health care specialty. Ellis, Javon can be contacted via phone (269) 370-5525.

Contact Information

Primary practice address
41521 W 11 Mile Rd Novi MI 48375-1803
Phone: (269) 370-5525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1316548480
LBN Legal business name Ellis, Javon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2020
Last updated Mar 1st, 2021 - about 3 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.

Request for update

Popular Providers