Ellis, Jason Lee

Ellis, Jason Lee is an individual health care provider with primary practice located at 7250 France Ave S. 300 A, Edina MN 55435-4346. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ellis, Jason Lee can be contacted via phone (952) 835-4772.

Contact Information

Primary practice address
7250 France Ave S. 300 A Edina MN 55435-4346
Phone: (952) 835-4772
Fax: (763) 207-8381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4989 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 2301009298 Michigan

Profile Details

NPI number 1700914140
LBN Legal business name Ellis, Jason Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Oct 13th, 2017 - about 9 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 1700914140 NPPES
Minnesota Other 3I335EL BCBS
Minnesota Other CC1343A BCBS
Minnesota Other 716650 BCBS

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