Ellison, Andre

Ellison, Andre is an sole proprietor health care provider with primary practice located at 5000 Town Ctr 2405, Southfield MI 48075-1110. He recently has only one registered license in Transportation Services / Private Vehicle, which is considered as his primary health care specialty. Ellison, Andre can be contacted via phone (248) 943-4107.

Contact Information

Primary practice address
5000 Town Ctr 2405 Southfield MI 48075-1110
Phone: (248) 943-4107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1043755523
LBN Legal business name Ellison, Andre
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2016
Last updated Dec 20th, 2016 - 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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