Individual
BEN ELCHONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25911 STRATFORD PL, OAK PARK, MI 48237-1027
(646) 504-4236
Mailing address
25911 STRATFORD PL, OAK PARK, MI 48237-1027
(646) 504-4236
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
9884723
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9884723
—
MI
Enumeration date
09/01/2022
Last updated
09/01/2022
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