Isaac, Ellery
Isaac, Ellery is an sole proprietor health care provider with primary practice located at 4114 W Maple Rd , Bloomfield Hills MI 48301. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Isaac, Ellery can be contacted via phone (248) 539-4800.Contact Information
Primary practice address
4114 W Maple Rd
Bloomfield Hills MI 48301
Phone: (248) 539-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901005069 | Michigan |
Profile Details
| NPI number | 1639699135 |
|---|---|
| LBN Legal business name | Isaac, Ellery |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2017 |
| Last updated | Jul 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639699135 | NPPES |
| Michigan | MEDICAID | 4901005069 |
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