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
Fax: (989) 539-2143
Website:

Health care specialties

SpecialtyCodeLicense #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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