Ellis, Tyara Cinque Evelyn

Ellis, Tyara Cinque Evelyn is an individual health care provider with primary practice located at 1431 Montie Rd , Lincoln Park MI 48146-1569. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Ellis, Tyara Cinque Evelyn can be contacted via phone (313) 948-0387.

Contact Information

Primary practice address
1431 Montie Rd Lincoln Park MI 48146-1569
Phone: (313) 948-0387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 163WC0200X Michigan

Profile Details

NPI number 1720790751
LBN Legal business name Ellis, Tyara Cinque Evelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2022
Last updated Dec 21st, 2022 - about 2 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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