Ellison, Grant Martin

Ellison, Grant Martin is an sole proprietor health care provider with primary practice located at 35640 W Michigan Ave , Wayne MI 48184-1628. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ellison, Grant Martin can be contacted via phone (734) 729-7792.

Contact Information

Primary practice address
35640 W Michigan Ave Wayne MI 48184-1628
Phone: (734) 729-7792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301016324 Michigan

Profile Details

NPI number 1710360573
LBN Legal business name Ellison, Grant Martin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2015
Last updated Jun 29th, 2015 - about 9 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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