Ellis, Treniece

Ellis, Treniece is an individual health care provider with primary practice located at 7800 W Outer Dr , Detroit MI 48235-3461. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Ellis, Treniece can be contacted via phone (313) 653-2039.

Contact Information

Primary practice address
7800 W Outer Dr Detroit MI 48235-3461
Phone: (313) 653-2039
Fax: (313) 255-2091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 22011020355519 Michigan

Profile Details

NPI number 1104045954
LBN Legal business name Ellis, Treniece
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104045954 NPPES
Michigan Other 22011020355519 PHARMACY TECHNICIAN CERTI

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