Fuller, Ellen
Fuller, Ellen is an sole proprietor health care provider with primary practice located at 789 N Clare Ave , Harrison MI 48625-9194. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Fuller, Ellen can be contacted via phone (989) 539-2141.Contact Information
Primary practice address
789 N Clare Ave
Harrison MI 48625-9194
Phone: (989) 539-2141
Fax: (989) 539-2143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6802060717 | Michigan |
Profile Details
| NPI number | 1184045585 |
|---|---|
| LBN Legal business name | Fuller, Ellen |
| Credentials | LBSW, QMRP, QMHP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2014 |
| Last updated | Jan 2nd, 2014 - about 12 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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