Individual provider · Type 1 NPI
Evan Lawton Ellis, DC
Chiropractor · Towson, MD
NPI number
1619646171
Active
Practice location
1122 Kenilworth Dr Ste 109
Towson, MD 21204-2141
Mailing address
1122 Kenilworth Dr # 106
Towson, MD 21204-2139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | S04102 (MD) |
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 1619646171
Evan Lawton Ellis, DC's National Provider Identifier is 1619646171, issued on Sep 8, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Towson, MD. The record was last updated on Sep 8, 2021.