Ghezzi, Elisa M.

Ghezzi, Elisa M. is an individual health care provider with primary practice located at 6010 W Maple Rd Suite 210, West Bloomfield MI 48322-4406. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Ghezzi, Elisa M. can be contacted via phone (248) 932-8980.

Contact Information

Primary practice address
6010 W Maple Rd Suite 210 West Bloomfield MI 48322-4406
Phone: (248) 932-8980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901016807 Michigan
Dental Providers / Dentist 122300000X 2901016807 Michigan

Profile Details

NPI number 1558306142
LBN Legal business name Ghezzi, Elisa M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 9th, 2007 - about 17 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 1558306142 NPPES
Michigan MEDICAID 4125550
Michigan MEDICAID 4125531

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