Steven Edward Ellis in Tygh Valley - Chiropractor
Steven Edward Ellis - NPI 1588645691
Steven Edward Ellis is a Chiropractor in Tygh Valley, Oregon. Steven Edward Ellis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Steven Edward Ellis is 1588645691. The last update date is 2018-08-24.
Steven Edward Ellis's current location address is 57594 Tygh Valley Rd, Tygh Valley, Oregon. You can contact this provider via phone number 5414832362. The mailing address for Steven Edward Ellis is 57594 Tygh Valley Rd, Tygh Valley, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Steven Edward Ellis |
---|---|
Address | 57594 Tygh Valley Rd, Tygh Valley, Oregon |
Phone Number | 5414832362 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1588645691 |
---|---|
Provider Enumeration Date | 2005-11-07 |
Last Updated Date | 2018-08-24 |
Provider Mailing Address Detail
Address | 57594 Tygh Valley Rd |
---|---|
City | Tygh Valley |
State | Oregon (OR) |
Post Code | 970638715 |
Phone Number | 5414832362 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
---|---|
Taxonomy | 111N00000X |
Licence No | 27-1756 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
261750 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Steven Edward Ellis?
The Steven Edward Ellis has been issued the NPI (National Provider Identifier) 1588645691 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Steven Edward Ellis's facilities are situated?
The facilities of Steven Edward Ellis are physically located at the following address: 57594 Tygh Valley Rd, Tygh Valley, OR, 970638715.
What is Steven Edward Ellis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Steven Edward Ellis is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Steven Edward Ellis receive the assignment of its 1588645691 from the Centers for Medicare & Medicaid Services?
The Steven Edward Ellis was issued its 1588645691 by the Centers for Medicare & Medicaid Services on 2005-11-07.
As of what date were the details related to Steven Edward Ellis most recently updated or revised?
The information pertaining to Steven Edward Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-24.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH