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Individual
DR. JOHN LYNN ELLIS
Active
Individual
DR. JOHN LYNN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006814
MO
171100000X
Acupuncturist
006814
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118585
GROUP HEALTH PLAN
MO
01
—
130695
BLUECROSSBLUE SHIELD
MO
01
—
1737609
FIRST HEALTH
MO
01
—
430848
HEALTHLINK
MO
01
—
4400136
UHC
MO
01
—
628091
ACN
MO
05
—
756098703
—
MO
01
—
OT14
PRIVATE HEALTHCARE SYSTEM
MO
Enumeration date
08/22/2006
Last updated
04/30/2020
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