Wagenheim, Elliot Charles
Wagenheim, Elliot Charles is an sole proprietor health care provider with primary practice located at 280 N Old Woodward Ave Suite 405, Birmingham MI 48009-5300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Wagenheim, Elliot Charles can be contacted via phone (248) 642-8330.Contact Information
Primary practice address
280 N Old Woodward Ave Suite 405
Birmingham MI 48009-5300
Phone: (248) 642-8330
Fax: (248) 642-6630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 4301035135 | Michigan |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301035135 | Michigan |
Profile Details
| NPI number | 1588774566 |
|---|---|
| LBN Legal business name | Wagenheim, Elliot Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 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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