Gary Craig Ellison in Eagle - Chiropractor
Gary Craig Ellison - NPI 1780883389
Gary Craig Ellison is a Chiropractor in Eagle, Idaho. Gary Craig Ellison practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gary Craig Ellison is 1780883389. The last update date is 2015-11-16.
Gary Craig Ellison's current location address is 3225 W Bavaria St 101, Eagle, Idaho. You can contact this provider via phone number 2088848848 and fax number 2088848802. The mailing address for Gary Craig Ellison is 3225 W Bavaria St 101, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Craig Ellison |
|---|---|
| Address | 3225 W Bavaria St 101, Eagle, Idaho |
| Phone Number | 2088848848 |
| Fax Number | 2088848802 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1780883389 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2015-11-16 |
Provider Mailing Address Detail
| Address | 3225 W Bavaria St 101 |
|---|---|
| City | Eagle |
| State | Idaho (ID) |
| Post Code | 836165547 |
| Phone Number | 2088848848 |
| Fax Number | 2088848802 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | C8455 |
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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 identification code assigned to Gary Craig Ellison by the Centers for Medicare & Medicaid Services?
The Gary Craig Ellison has been issued the NPI (National Provider Identifier) 1780883389. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gary Craig Ellison located?
The Gary Craig Ellison is located at 3225 W Bavaria St 101, Eagle, ID 836165547.
What is the area of specialization for Gary Craig Ellison, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gary Craig Ellison is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
When did Gary Craig Ellison receive its 1780883389 assignment?
The Gary Craig Ellison was assigned its 1780883389 on 2007-07-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Gary Craig Ellison most recently updated or revised?
The information pertaining to Gary Craig Ellison, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-16.
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