Thomas P Ellis Dc Pa

LBN: Thomas P Ellis Dc Pa
Thomas P Ellis Dc Pa is an health care organization with primary practice located at 214 Pasadena Ave S , St Petersburg FL 33707-1251. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Thomas P Ellis Dc Pa can be contacted via phone (727) 341-1234, or through Ellis, Thomas Paul via phone (727) 341-1234.

Contact Information

Primary practice address
214 Pasadena Ave S St Petersburg FL 33707-1251
Phone: (727) 341-1234
Fax: (727) 345-0843
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Thomas Paul Doctor of Chiropractic (DC)
Phone: (727) 341-1234

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00004294 Florida

Profile Details

NPI number 1659617090
LBN Legal business name Thomas P Ellis Dc Pa
DBA Doing business as
Authorized official Ellis, Thomas Paul Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2012
Last updated Dec 12th, 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 1659617090 NPPES
Florida MEDICAID 051111100

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