ELLIS CHIROPRACTIC CLINIC, LLC (NPI# 1891972527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891972527 |
Entity Type | Organization |
Organization Name | ELLIS CHIROPRACTIC CLINIC, LLC |
Other Organization Name | ELLIS HEALTH CENTRE |
Practice Address |
3391 County Road 2240 Salem MO 65560-8546 |
Practice Telephone | 5737394010 |
Practice Fax Number | 5734589041 |
Mailing Telephone | 5737394010 |
Mailing Fax Number | 5734589041 |
Enumeration Date | 2008-01-24 |
Last Update Date | 2020-04-30 |
Authorized Official Name | DR. JOHN LYNN ELLIS (OWNER) |
Authorized Official Telephone | 5737394010 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171100000X | Acupuncturist | Other Service Providers | ||
N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
Y | 111N00000X | Chiropractor | Chiropractic Providers |
Other Name | Type Code |
---|---|
Ellis Health Centre | Doing Business As Name - Organization |
Street Address |
3391 COUNTY ROAD 2240 |
City | SALEM |
State | MO |
Zip Code | 65560-8546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194831115 | John Lynn Ellis | Chiropractor | 3391 County Road 2240, Salem, MO 65560-8546 | 2006-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
1174959142 | Britney Nicole Christesen | Chiropractor | 909 S Pershing Ave, Salem, MO 65560 | 2013-09-22 |
1245550474 | Amber Nicole Duncan | Chiropractor | 803 W 32 Hwy, Suite B, Salem, MO 65560 | 2010-06-10 |
1043460371 | Tina Marie Mcmullin | Counselor | 601 East Center Street, Salem, MO 65560 | 2008-09-23 |
1225286347 | Craig Tatom | Nurse Practitioner | Hwy 72 N Physicians Office Building II, Salem, MO 65560 | 2008-09-03 |
1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
1275669533 | Complete Care, Inc | Durable Medical Equipment & Medical Supplies | 116 W. 4th, Salem, MO 65560 | 2007-02-23 |
1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
1750369369 | Charles W Cunningham | Family Medicine | 1010 E Scenic Rivers Blvd, Salem, MO 65560 | 2006-01-04 |
Find all providers in zip 65560 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184230385 | Shelton Chiropractic | Chiropractor | 428 N State Road 198 Ste B, Salem, UT 84653-4605 | 2020-09-22 |
1710549126 | Heisler Chiropractic LLC | Chiropractor | 803 W Scenic Rivers Blvd Ste B, Salem, MO 65560-2549 | 2019-07-05 |
1740751601 | Delena Jaelaine Brymer | Chiropractor | 7447 Stilson Ln S, Salem, OR 97306-9850 | 2018-12-17 |
1538639620 | The Good Place Nw, Inc | Chiropractor | 960 Broadway St Ne Ste 1, Salem, OR 97301-1275 | 2018-11-30 |
1982186607 | Jordan E Sajovic, PC | Chiropractor | 2150 Commercial St Se Bsmt Suite, Salem, OR 97302-5379 | 2018-08-29 |
1609353424 | Michael Gerard Cardinal | Chiropractor | 1100 Liberty St Se, Suite 2, Salem, OR 97302-9730 | 2018-07-24 |
1386146710 | Chiropractic 503 LLC | Chiropractor | 1645 12th St Se, Salem, OR 97302-2820 | 2018-03-01 |
1720586506 | Salem Chiropractic and Wellness Corporation | Chiropractor | 631 Jason St Ne, Salem, OR 97301 | 2018-01-26 |
1558801258 | Terrill Lane Phelps Jr. | Chiropractor | 591 N State Road 198, Salem, UT 84653-5668 | 2017-02-28 |
1821546367 | Danielle M Strawn | Chiropractor | 1201 N Ellsworth Ave, Salem, OH 44460-1539 | 2016-09-13 |
Find all providers in SALEM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.