Tabak, Ellen Rose
Tabak, Ellen Rose is an individual health care provider with primary practice located at 101 W Long Lake Rd , Bloomfield Hills MI 48304-2749. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tabak, Ellen Rose can be contacted via phone (248) 480-4965.Contact Information
Primary practice address
101 W Long Lake Rd
Bloomfield Hills MI 48304-2749
Phone: (248) 480-4965
Fax: (248) 480-4966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801018478 | Michigan |
Profile Details
| NPI number | 1396743704 |
|---|---|
| LBN Legal business name | Tabak, Ellen Rose |
| Credentials | ACSW, M.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2005 |
| Last updated | Oct 7th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396743704 | NPPES |
| Michigan | Other | 382778765 | CIGNA / VENDOR # 1139981 |
| Michigan | Other | 750910718 | CIGNA / VENDOR # 1139981 |
| Michigan | Other | 247423000 | CIGNA / VENDOR # 1139981 |
| Michigan | Other | 51940-01 | CIGNA / VENDOR # 1139981 |
| Michigan | Other | 9359445 | CIGNA / VENDOR # 1139981 |
Popular Providers
-
Fishman, Laura Danielle
74 W Long Lake Rd Suite 100, Bloomfield Hills MI 48304-2769 -
Beauvais, Donna Marie
4111 Andover Rd Ste 220E, Bloomfield Hills MI 48302-1909 -
Loesel-Strauch, Kathleen
43996 Woodward Ave Suite 02, Bloomfield Hills MI 48302-5027 -
Segal, Abby B
4599 Walnut Lake Rd , Bloomfield Hills MI 48301-1403 -
Freedland, Eileen Karen
2550 S Telegraph Rd Suite 250, Bloomfield Hills MI 48302-0950 -
Murphy, Mary Linda
4146 Tanglewood Ct , Bloomfield Hills MI 48301-1218 -
Daniels, Doris M.
7457 Franklin Rd Ste 303 , Bloomfield Hills MI 48301-3608 -
Ogusky, Carol
36700 Woodward Ave Suite 202, Bloomfield Hills MI 48304-0926