Jay T Ellis is a Contractor in Idaho Falls, Idaho. Jay T Ellis practices all healthcare services and medical treatments related to Contractor. The NPI Number for Jay T Ellis is 1811924012. The last update date is 2011-03-04.
Jay T Ellis's current location address is Po Box 1463, Idaho Falls, Idaho. You can contact this provider via phone number 2085238879 and fax number 2085230436. The mailing address for Jay T Ellis is Po Box 1463, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay T Ellis |
|---|---|
| Address | Po Box 1463, Idaho Falls, Idaho |
| Phone Number | 2085238879 |
| Fax Number | 2085230436 |
| Sole Proprietor | N |
| Credentials | PT, DPT, C |
NPI Number Detail
| NPI Number | 1811924012 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2011-03-04 |
Provider Mailing Address Detail
| Address | Po Box 1463 |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834031463 |
| Phone Number | 2085238879 |
| Fax Number | 2085230436 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | RPT231 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 316942 | ID | BLUE SHIELD | |
| 804274500 | ID | -- | |
| T0742 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jay T Ellis by the Centers for Medicare & Medicaid Services?
The Jay T Ellis has been assigned the NPI (National Provider Identifier) 1811924012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jay T Ellis is geographically located?
The Jay T Ellis is physically situated at the following location: Po Box 1463, Idaho Falls, ID, 834031463.
What is Jay T Ellis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jay T Ellis is Contractor, and the taxonomy code that classifies this field of practice is 171W00000X.
When did the Jay T Ellis receive its 1811924012?
The Jay T Ellis was issued its 1811924012 on 2006-06-26, which is the date when the organization was assigned this unique identifier.
When was the Jay T Ellis's information last updated?
The Jay T Ellis's information was last updated on 2011-03-04.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA