Ellis Health Center Inc | |
243 Heritage St, Lone Grove, OK 73443 | |
(580) 657-2225 | |
(580) 657-2235 |
Full Name | Ellis Health Center Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 243 Heritage St, Lone Grove, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679799308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3267 (Oklahoma) | Primary |
Provider Name | Thomas C Ellis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1700893054 PECOS PAC ID: 3274538665 Enrollment ID: I20060918000267 |
Mailing Address | Practice Location Address |
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Ellis Health Center Inc 243 Heritage, Ardmore, OK 73401-2089 Ph: (580) 657-2225 | Ellis Health Center Inc 243 Heritage St, Lone Grove, OK 73443 Ph: (580) 657-2225 |
Soul Purpose Dba Lone Grove Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 16982 Highway 70, Lone Grove, OK 73443 Phone: 580-657-6664 Fax: 580-657-6663 | |
Dr. Anthony Dewayne Leming, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: Hwy 70 W., Lone Grove, OK 73443 Phone: 580-657-6664 Fax: 580-657-6663 |