# EVENTUS ECS - MICHIGAN, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750109633
- **Authorized official:** JENNIFER RUCCI MD (OWNER)
- **Authorized official phone:** (855) 743-2247

## Contact information

- **Practice address:** 186 N MAIN ST FL 2, PLYMOUTH, MI 48170-1236
- **Practice address phone:** (855) 743-2247
- **Mailing address:** PO BOX 1431 DEPT 419, CHARLOTTE, NC 28201-1431
- **Mailing address phone:** (855) 743-2247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2024
- **Last updated:** 09/30/2024