Ellis, Requan

Ellis, Requan is an individual health care provider with primary practice located at 27046 James Ave , Flat Rock MI 48134-1165. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Ellis, Requan can be contacted via phone (586) 804-6186.

Contact Information

Primary practice address
27046 James Ave Flat Rock MI 48134-1165
Phone: (586) 804-6186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1770977381
LBN Legal business name Ellis, Requan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2015
Last updated Mar 20th, 2015 - about 10 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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