Ellis, Mike H

Ellis, Mike H is an sole proprietor health care provider with primary practice located at 1950 William St , Union NJ 07083-4504. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ellis, Mike H can be contacted via phone (908) 546-8947.

Contact Information

Primary practice address
1950 William St Union NJ 07083-4504
Phone: (908) 546-8947
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00225500 New Jersey

Profile Details

NPI number 1629691217
LBN Legal business name Ellis, Mike H
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2020
Last updated May 18th, 2020 - about 5 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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