Jessica Laine Ellis in Eugene - Sports Medicine
Jessica Laine Ellis - NPI 1245270222
Jessica Laine Ellis is a Sports Medicine in Eugene, Oregon. Jessica Laine Ellis practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jessica Laine Ellis is 1245270222. The last update date is 2015-12-04.
Jessica Laine Ellis's current location address is Po Box 1648, Eugene, Oregon. You can contact this provider via phone number 5412424812 and fax number 5412842038. The mailing address for Jessica Laine Ellis is Po Box 1648, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Laine Ellis |
|---|---|
| Address | Po Box 1648, Eugene, Oregon |
| Phone Number | 5412424812 |
| Fax Number | 5412842038 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245270222 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2015-12-04 |
Provider Mailing Address Detail
| Address | Po Box 1648 |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974401648 |
| Phone Number | 5412424812 |
| Fax Number | 5412842038 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD172850 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500694329 | OR | -- |
Post Comment/ Review Below
What is the Jessica Laine Ellis's unique identification number?
The Jessica Laine Ellis has been assigned the NPI (National Provider Identifier) Number 1245270222 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jessica Laine Ellis is located?
The Jessica Laine Ellis is situated at the following address: Po Box 1648, Eugene, OR, 974401648.
What is the area of specialization for Jessica Laine Ellis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jessica Laine Ellis is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.
On what date did the Jessica Laine Ellis receive its 1245270222 assignment from the Centers for Medicare & Medicaid Services?
The Jessica Laine Ellis was assigned its 1245270222 by the Centers for Medicare & Medicaid Services on 2006-06-07.
As of what date were the details related to Jessica Laine Ellis most recently updated or revised?
The information pertaining to Jessica Laine Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-04.