Powell, Freddy

Powell, Freddy is an individual health care provider with primary practice located at 2140 E Ellsworth Rd , Ann Arbor MI 48108-2552. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Powell, Freddy can be contacted via phone (734) 544-3050.

Contact Information

Primary practice address
2140 E Ellsworth Rd Ann Arbor MI 48108-2552
Fax: (734) 544-6732
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1972947364
LBN Legal business name Powell, Freddy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2013
Last updated May 10th, 2023 - about 3 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 1972947364 NPPES
Michigan MEDICAID 1770538068

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