Individual provider · Type 1 NPI
Andre Ellison
Private Vehicle · Southfield, MI
NPI number
1043755523
Active
Practice location
5000 Town Ctr, 2405
Southfield, MI 48075-1110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
3 other providers at this address
Other private vehicle providers in Southfield
About NPI 1043755523
Andre Ellison's National Provider Identifier is 1043755523, issued on Dec 20, 2016. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Southfield, MI. The record was last updated on Dec 20, 2016.