Ellison Family Chiropractic

LBN: Ellison Family Chiropractic
Ellison Family Chiropractic is an health care organization with primary practice located at 3225 W Bavaria St Suite 101, Eagle ID 83616-5413. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Ellison Family Chiropractic can be contacted via phone (208) 884-8848, or through Ellison, Gary Craig via phone (208) 884-8848.

Contact Information

Primary practice address
3225 W Bavaria St Suite 101 Eagle ID 83616-5413
Phone: (208) 884-8848
Fax: (208) 884-8802
Website:
Map and Directions
Authorized official contact:
Name: Ellison, Gary Craig Doctor of Chiropractic (DC)
Phone: (208) 884-8848

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-845 Idaho

Profile Details

NPI number 1508188400
LBN Legal business name Ellison Family Chiropractic
DBA Doing business as
Authorized official Ellison, Gary Craig Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2010
Last updated Apr 4th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508188400 NPPES
Idaho MEDICAID 807028500

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