Ellis, Jeremy

Ellis, Jeremy is an sole proprietor health care provider with primary practice located at 4901 Friedman Ln , Fort Worth TX 76244-6121. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Ellis, Jeremy can be contacted via phone (682) 302-4476.

Contact Information

Primary practice address
4901 Friedman Ln Fort Worth TX 76244-6121
Phone: (682) 302-4476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X 11376 Texas

Profile Details

NPI number 1740663905
LBN Legal business name Ellis, Jeremy
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2015
Last updated Jul 7th, 2015 - about 11 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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