Johnson, Eleanor Kaye
Johnson, Eleanor Kaye is an individual health care provider with primary practice located at 1333 Brewery Park Blvd Ste 200 , Detroit MI 48207-4544. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Other Service Providers / Community Health Worker is her primary health care specialty. Johnson, Eleanor Kaye can be contacted via phone (313) 446-4444.Contact Information
Primary practice address
1333 Brewery Park Blvd Ste 200
Detroit MI 48207-4544
Phone: (313) 446-4444
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X |
Profile Details
NPI number | 1265293278 |
---|---|
LBN Legal business name | Johnson, Eleanor Kaye |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2024 |
Last updated | Jan 17th, 2024 - about last year |
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 | 1265293278 | NPPES |
Michigan | Other | 802464510 | NON PROFIT |
Michigan | Other | J525205461773 | NON PROFIT |
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