Ellis, Jill Marie
Ellis, Jill Marie is an individual health care provider with primary practice located at 4967 Crooks Rd Ste 130 , Troy MI 48098-5812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ellis, Jill Marie can be contacted via phone (248) 952-1601.Contact Information
Primary practice address
4967 Crooks Rd Ste 130
Troy MI 48098-5812
Phone: (248) 952-1601
Fax: (248) 952-0192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601003809 | Michigan |
Profile Details
| NPI number | 1720052483 |
|---|---|
| LBN Legal business name | Ellis, Jill Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Nov 15th, 2013 - about 11 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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