Ennis, Michaela Jean

Ennis, Michaela Jean is an sole proprietor health care provider with primary practice located at 38 Seneca St , Baldwinsville NY 13027-2809. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Ennis, Michaela Jean can be contacted via phone (315) 558-0976.

Contact Information

Primary practice address
38 Seneca St Baldwinsville NY 13027-2809
Phone: (315) 558-0976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 721390 New York

Profile Details

NPI number 1922649680
LBN Legal business name Ennis, Michaela Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2019
Last updated Oct 3rd, 2019 - about 6 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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