Ellis, Kurt Thomas

Ellis, Kurt Thomas is an sole proprietor health care provider with primary practice located at 4920 Plainfield Ave Ne Suite C, Grand Rapids MI 49525-1010. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Ellis, Kurt Thomas can be contacted via phone (616) 217-8612.

Contact Information

Primary practice address
4920 Plainfield Ave Ne Suite C Grand Rapids MI 49525-1010
Phone: (616) 217-8612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301008881 Michigan
Behavioral Health & Social Service Providers / Family 103TF0000X 6301008881 Michigan

Profile Details

NPI number 1770730434
LBN Legal business name Ellis, Kurt Thomas
Credentials LLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2008
Last updated Apr 18th, 2017 - about 8 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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