Ennis, Arthur

Ennis, Arthur is an individual health care provider with primary practice located at 24060 W 9 Mile Rd , Southfield MI 48034-3904. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ennis, Arthur can be contacted via phone (248) 356-5900.

Contact Information

Primary practice address
24060 W 9 Mile Rd Southfield MI 48034-3904
Phone: (248) 356-5900
Fax: (248) 356-4940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X AE001397 Michigan

Profile Details

NPI number 1841272507
LBN Legal business name Ennis, Arthur
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Dec 3rd, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841272507 NPPES
Michigan MEDICAID 13 1959674
Michigan Other 383024294
Michigan Other 480F375620

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