Ellison, Grant Martin
Ellison, Grant Martin is an sole proprietor health care provider with primary practice located at 35640 W Michigan Ave , Wayne MI 48184-1628. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ellison, Grant Martin can be contacted via phone (734) 729-7792.Contact Information
Primary practice address
35640 W Michigan Ave
Wayne MI 48184-1628
Phone: (734) 729-7792
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301016324 | Michigan |
Profile Details
| NPI number | 1710360573 |
|---|---|
| LBN Legal business name | Ellison, Grant Martin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2015 |
| Last updated | Jun 29th, 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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