# ELLINGSON CHIROPRACTIC P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568712867
- **Authorized official:** DR. DOUGLAS MILLER ELLINGSON D.C. (OWNER)
- **Authorized official phone:** (515) 986-4003

## Contact information

- **Practice address:** 200 SE GATEWAY DR STE 103, GRIMES, IA 50111-2182
- **Practice address phone:** (515) 986-4003
- **Practice address fax:** (515) 986-4014
- **Mailing address:** 200 SE GATEWAY DR STE 103, GRIMES, IA 50111-2182
- **Mailing address phone:** (515) 986-4003
- **Mailing address fax:** (515) 986-4014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2012
- **Last updated:** 09/13/2012