Kurt Thomas Ellis in Grand Rapids - Family
Kurt Thomas Ellis - NPI 1770730434
Kurt Thomas Ellis is a Family in Grand Rapids, Michigan. Kurt Thomas Ellis practices all healthcare services and medical treatments related to Family. The NPI Number for Kurt Thomas Ellis is 1770730434. The last update date is 2017-04-18.
Kurt Thomas Ellis's current location address is 4829 E Beltline Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6162178612. The mailing address for Kurt Thomas Ellis is 4829 E Beltline Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kurt Thomas Ellis |
|---|---|
| Address | 4829 E Beltline Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6162178612 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LLP |
NPI Number Detail
| NPI Number | 1770730434 |
|---|---|
| Provider Enumeration Date | 2008-08-25 |
| Last Updated Date | 2017-04-18 |
Provider Mailing Address Detail
| Address | 4829 E Beltline Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495259349 |
| Phone Number | 6162178612 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 103Tf0000X |
| Licence No | 6301008881 |
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Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
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Post Comment/ Review Below
What is the Kurt Thomas Ellis's 1770730434?
The Kurt Thomas Ellis's NPI (National Provider Identifier) Number is 1770730434. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kurt Thomas Ellis's facilities are situated?
The facilities of Kurt Thomas Ellis are physically located at the following address: 4829 E Beltline Ave Ne, Grand Rapids, MI, 495259349.
What is Kurt Thomas Ellis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kurt Thomas Ellis is Family, and the taxonomy code that categorizes this field of expertise is 103Tf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770730434 to Kurt Thomas Ellis?
The Kurt Thomas Ellis received its 1770730434 assignment from the Centers for Medicare & Medicaid Services on 2008-08-25.
As of what date were the Kurt Thomas Ellis's details last updated?
The information pertaining to the Kurt Thomas Ellis, including its address, specialty, and other details, was most recently updated on 2017-04-18.