Ellis, Terrell Tyray
Ellis, Terrell Tyray is an sole proprietor health care provider with primary practice located at 21408 Inkster Rd , Southfield MI 48033-5026. He recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Agencies / In Home Supportive Care, Nursing Service Related Providers / Homemaker. Agencies / In Home Supportive Care is his primary health care specialty. Ellis, Terrell Tyray can be contacted via phone (947) 224-0379.Contact Information
Primary practice address
21408 Inkster Rd
Southfield MI 48033-5026
Phone: (947) 224-0379
Fax: (947) 941-2603
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
Agencies / In Home Supportive Care | 253Z00000X | ||
Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
NPI number | 1790455152 |
---|---|
LBN Legal business name | Ellis, Terrell Tyray |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 16th, 2021 |
Last updated | Sep 16th, 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.
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