Marc Allen Ellis is a Chiropractor in Roswell, Georgia. Marc Allen Ellis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Marc Allen Ellis is 1073671970. The last update date is 2007-07-08.
Marc Allen Ellis's current location address is 903 Bombay Ln, Roswell, Georgia. You can contact this provider via phone number 7706644288. The mailing address for Marc Allen Ellis is 903 Bombay Ln, Roswell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc Allen Ellis |
|---|---|
| Address | 903 Bombay Ln, Roswell, Georgia |
| Phone Number | 7706644288 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1073671970 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 903 Bombay Ln |
|---|---|
| City | Roswell |
| State | Georgia (GA) |
| Post Code | 300765829 |
| Phone Number | 7706644288 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIR007215 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique 10-digit identification code assigned to Marc Allen Ellis by the Centers for Medicare & Medicaid Services?
The Marc Allen Ellis has been issued the NPI (National Provider Identifier) 1073671970, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marc Allen Ellis's physical address?
The Marc Allen Ellis is physically located at 903 Bombay Ln, in the city of Roswell, GA, with the postal code 300765829.
What is Marc Allen Ellis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marc Allen Ellis is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073671970 to Marc Allen Ellis?
The Marc Allen Ellis received its 1073671970 assignment from the Centers for Medicare & Medicaid Services on 2006-12-04.
As of what date was the information regarding Marc Allen Ellis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marc Allen Ellis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.