Ellis, Terrell Tyray

Ellis, Terrell Tyray is an sole proprietor health care provider with primary practice located at 21408 Inkster Rd , Southfield MI 48033-5026. He recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Agencies / In Home Supportive Care, Nursing Service Related Providers / Homemaker. Agencies / In Home Supportive Care is his primary health care specialty. Ellis, Terrell Tyray can be contacted via phone (947) 224-0379.

Contact Information

Primary practice address
21408 Inkster Rd Southfield MI 48033-5026
Phone: (947) 224-0379
Fax: (947) 941-2603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1790455152
LBN Legal business name Ellis, Terrell Tyray
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2021
Last updated Sep 16th, 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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