Ennis, Erin E

Ennis, Erin E is an individual health care provider with primary practice located at 50430 School House Rd Suite 100, Canton MI 48187-5910. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Ennis, Erin E can be contacted via phone (734) 495-1722.

Contact Information

Primary practice address
50430 School House Rd Suite 100 Canton MI 48187-5910
Fax: (734) 495-3068
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1326362377
LBN Legal business name Ennis, Erin E
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2010
Last updated Mar 19th, 2010 - about 14 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 1326362377 NPPES
Michigan MEDICAID 213119549

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