Mayfield-Fleming, Ellen
Mayfield-Fleming, Ellen is an individual health care provider with primary practice located at 42669 Garfield Rd , Clinton Twp MI 48038-5036. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mayfield-Fleming, Ellen can be contacted via phone (586) 412-5321.Contact Information
Primary practice address
42669 Garfield Rd
Clinton Twp MI 48038-5036
Phone: (586) 412-5321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301010626 | Michigan |
Profile Details
| NPI number | 1104071927 |
|---|---|
| LBN Legal business name | Mayfield-Fleming, Ellen |
| Credentials | MALLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2008 |
| Last updated | Nov 20th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104071927 | NPPES |
| Michigan | Other | 750910642 | BLUE CROSS |
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