NPI Code Details Logo

NPI 1104611763

NPI 1104611763 : ELENI BILLS DO : LIVONIA, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104611763
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ELENI BILLS DO
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/14/2025
-----------------------------------------------------
    Last Update Date     |    04/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    19000 ST JOES PKWY STE 310 
-----------------------------------------------------
    City                 |    LIVONIA
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48152-1477
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    734-743-4540
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    28712 WINTERGREEN 
-----------------------------------------------------
    City                 |    FARMINGTON HILLS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48331-3018
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-978-9576
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.