Ellis, Colleen Erin

Ellis, Colleen Erin is an individual health care provider with primary practice located at 1080 Walloon Way , Lake Orion MI 48360-1318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellis, Colleen Erin can be contacted via phone (248) 210-9115.

Contact Information

Primary practice address
1080 Walloon Way Lake Orion MI 48360-1318
Phone: (248) 210-9115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704262495 Michigan

Profile Details

NPI number 1437539681
LBN Legal business name Ellis, Colleen Erin
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2015
Last updated Jun 3rd, 2015 - about 11 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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