Organization · Type 2 NPI

Ellison Family Chiropractic

Chiropractor · Eagle, ID

NPI number 1508188400 Active

Practice location

3225 W Bavaria St, Suite 101
Eagle, ID 83616-5413

Fax (208) 884-8802

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-845 (ID)

Chiropractor: 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 interrelationship with other body systems.

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About NPI 1508188400

Ellison Family Chiropractic's National Provider Identifier is 1508188400, issued on Feb 18, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Eagle, ID. The record was last updated on Apr 4, 2012.