Jesse Lee Ellis, D.C.

Chiropractor · Marlow, OK

Individual Active NPI

NPI number 1093063950

Practice location

1802 S Broadway St
Marlow, OK 73055-8691
Phone
(580) 721-7007
Fax
(580) 721-7008

Open in Google Maps

NPI record

NPI
1093063950
Entity type
Individual (Type 1)
Enumeration date
August 27, 2012
Last updated
March 24, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 4076 OK

About Dr. Ellis

Jesse Lee Ellis, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1802 S Broadway St, Marlow, OK 73055-8691. The NPI number 1093063950 was assigned on August 27, 2012 and the record was last updated on March 24, 2016.

Dr. Ellis lists a license in the registry: #4076 (OK) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jesse Lee Ellis, D.C.?

The NPI number is 1093063950.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (580) 721-7007.

Where is Dr. Ellis located?

1802 S Broadway St, Marlow, OK 73055-8691.

What is the taxonomy code for Dr. Ellis?

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.

Other Chiropractor providers in Marlow

All Chiropractor providers in Marlow, OK →