Ellstrom, Katie Rose
Ellstrom, Katie Rose is an sole proprietor health care provider with primary practice located at 29500 Southfield Rd , Southfield MI 48076-2030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ellstrom, Katie Rose can be contacted via phone (248) 765-1795.Contact Information
Primary practice address
29500 Southfield Rd
Southfield MI 48076-2030
Phone: (248) 765-1795
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 4704339527 | Michigan |
Profile Details
| NPI number | 1710752035 |
|---|---|
| LBN Legal business name | Ellstrom, Katie Rose |
| Credentials | DNP, RN, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2023 |
| Last updated | Apr 4th, 2024 - about 7 months 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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