Ellis, Natasha Antoinette

Ellis, Natasha Antoinette is an sole proprietor health care provider with primary practice located at 40075 Eaton St 202, Canton MI 48187-4500. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ellis, Natasha Antoinette can be contacted via phone (734) 981-1442.

Contact Information

Primary practice address
40075 Eaton St 202 Canton MI 48187-4500
Phone: (734) 981-1442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Michigan

Profile Details

NPI number 1891071700
LBN Legal business name Ellis, Natasha Antoinette
Credentials CPSS, CRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2011
Last updated Jul 28th, 2021 - about 5 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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