Lord, Ellen

Lord, Ellen is an sole proprietor health care provider with primary practice located at 1005 May St Ste A , Charlevoix MI 49720-9380. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Case Management. Nursing Service Providers / Case Management is her primary health care specialty. Lord, Ellen can be contacted via phone (231) 883-7738.

Contact Information

Primary practice address
1005 May St Ste A Charlevoix MI 49720-9380
Phone: (231) 883-7738
Fax: (231) 588-7030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 200695 Michigan
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 4704083965 Michigan
Nursing Service Providers / Case Management 163WC0400X 4704083965 Michigan

Profile Details

NPI number 1598973182
LBN Legal business name Lord, Ellen
Credentials RN,MA,CAC-R,CCM
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Nov 9th, 2009 - about 15 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 1598973182 NPPES
Michigan Other 4704083965 REGISTERED NURSE
Michigan Other 00131110 REGISTERED NURSE
Michigan Other 2-00695 REGISTERED NURSE

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