# DR. JOHN LYNN ELLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194831115
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 006814 | MO | Yes |
| 171100000X | Acupuncturist | 006814 | MO | — |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 04/30/2020

## 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 |