Ellis, Eldon L

Ellis, Eldon L is an sole proprietor health care provider with primary practice located at 703 N Webster St , Spring Hill KS 66083-8745. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ellis, Eldon L can be contacted via phone (913) 592-2116.

Contact Information

Primary practice address
703 N Webster St Spring Hill KS 66083-8745
Fax: (913) 592-2117
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X C3234 Kansas

Profile Details

NPI number 1386740199
LBN Legal business name Ellis, Eldon L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Sep 25th, 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 1386740199 NPPES
Missouri Other 02650016 BLUE CROSS BLUE SHIELD
Missouri Other 27203 BLUE CROSS BLUE SHIELD

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