Walz, Elisheva
Walz, Elisheva is an sole proprietor health care provider with primary practice located at 15300 Fontaine Pl , Oak Park MI 48237-1441. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Walz, Elisheva can be contacted via phone (248) 885-3727.Contact Information
Primary practice address
15300 Fontaine Pl
Oak Park MI 48237-1441
Phone: (248) 885-3727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801097996 | Michigan |
Profile Details
| NPI number | 1457723736 |
|---|---|
| LBN Legal business name | Walz, Elisheva |
| Credentials | LLMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2015 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457723736 | NPPES |
| Michigan | MEDICAID | 120627102 |
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