Individual provider · Type 1 NPI
Fallon Ellington, M.S., QBHP
Other Technician · Dearborn, MI
NPI number
1073987863
Active
Practice location
4953 Schaefer Rd
Dearborn, MI 48126-3260
Mailing address
645 E Fox Hills Dr
Bloomfield Hills, MI 48304-1305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1073987863
Fallon Ellington, M.S., QBHP's National Provider Identifier is 1073987863, issued on Nov 17, 2015. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Dearborn, MI. The record was last updated on Aug 16, 2023.