| Jason M Ellis Dc Pllc | |
|
1001 Welch Rd Ste 111, Commerce Township, MI 48390-2864 | |
| (248) 779-9290 | |
| Not Available |
| Full Name | Jason M Ellis Dc Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Nutrition |
| Location | 1001 Welch Rd Ste 111, Commerce Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750564910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN1001X | Chiropractor - Nutrition | 2301008416 (Michigan) | Primary |
| Provider Name | Jason M Ellis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366583163 PECOS PAC ID: 6103893219 Enrollment ID: I20040917000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason M Ellis Dc Pllc 1001 Welch Rd Ste 111, Commerce Township, MI 48390-2864 Ph: (248) 779-9290 | Jason M Ellis Dc Pllc 1001 Welch Rd Ste 111, Commerce Township, MI 48390-2864 Ph: (248) 779-9290 |
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