Ellis Chiropractic Inc

Chiropractor · Blackfoot, ID

Organization Active NPI

NPI number 1043406705

Practice location

745 W Bridge St Ste F
Blackfoot, ID 83221-2000
Phone
(208) 782-9793
Fax
(208) 782-1999

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NPI record

NPI
1043406705
Entity type
Organization (Type 2)
Enumeration date
September 17, 2007
Last updated
September 17, 2007
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 860 ID

Mailing address

745 W. Bridge St. Suite F
Blackfoot, ID 83221
Phone
(208) 782-9793
Fax
(208) 782-1999

Authorized official

Name
Dr. Valden J Ellis, D.O.
Title
Owner
Phone
(208) 782-9793

About Ellis Chiropractic Inc

Ellis Chiropractic Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 745 W Bridge St Ste F, Blackfoot, ID 83221-2000. The NPI number 1043406705 was assigned on September 17, 2007 and the record was last updated on September 17, 2007.

Ellis Chiropractic Inc lists a license in the registry: #860 (ID) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Valden J Ellis, D.O., Owner.

Frequently asked questions

What is the NPI number of Ellis Chiropractic Inc?

The NPI number is 1043406705.

What is the phone number of Ellis Chiropractic Inc?

The phone number listed for the practice location is (208) 782-9793.

Where is Ellis Chiropractic Inc located?

745 W Bridge St Ste F, Blackfoot, ID 83221-2000.

What is the taxonomy code for Ellis Chiropractic Inc?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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