Individual provider · Type 1 NPI
Jason Lee Ellis, DC
Chiropractor · Edina, MN
NPI number
1700914140
Active
Practice location
7250 France Ave S., 300 A
Edina, MN 55435-4346
Fax (763) 207-8381
Mailing address
7250 France Ave S, 300A
Edina, MN 55435-4313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4989 (MN) |
| Chiropractor | 111N00000X | 2301009298 (MI) |
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 1700914140
Jason Lee Ellis, DC's National Provider Identifier is 1700914140, issued on Feb 28, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Edina, MN. The record was last updated on Oct 13, 2017.