Ellis, Cole G.

Ellis, Cole G. is an sole proprietor health care provider with primary practice located at 4490 Fanuel St #D, San Diego CA 92109-4292. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ellis, Cole G. can be contacted via phone (858) 274-9116.

Contact Information

Primary practice address
4490 Fanuel St #D San Diego CA 92109-4292
Fax: (858) 274-9161
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC29817 California

Profile Details

NPI number 1578694212
LBN Legal business name Ellis, Cole G.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Apr 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578694212 NPPES
California Other DC18323A LICENSE

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