Ellison Family Chiropractic | |
123 Avenue C, Cloquet, MN 55720-1563 | |
(218) 879-1556 | |
(218) 879-1568 |
Full Name | Ellison Family Chiropractic |
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Type | Facility |
Speciality | Clinic/center |
Location | 123 Avenue C, Cloquet, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306144100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | 1939925 (Minnesota) | Primary |
Provider Name | Jeffrey T Leno |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316245608 PECOS PAC ID: 1557545654 Enrollment ID: I20110414000564 |
Provider Name | Kayla B Ellison |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013314418 PECOS PAC ID: 3375866544 Enrollment ID: I20141218001711 |
Provider Name | Katie Larson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265930325 PECOS PAC ID: 2466884663 Enrollment ID: I20191108000938 |
Provider Name | Justin B Marty |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366073827 PECOS PAC ID: 9234511015 Enrollment ID: I20220727001560 |
Provider Name | Megan Sophia Nolting |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1578332664 PECOS PAC ID: 5496107351 Enrollment ID: I20240117001171 |
Mailing Address | Practice Location Address |
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Ellison Family Chiropractic 123 Avenue C, Cloquet, MN 55720-1563 Ph: (218) 879-1556 | Ellison Family Chiropractic 123 Avenue C, Cloquet, MN 55720-1563 Ph: (218) 879-1556 |