Organization
ELLIS CHIROPRACTIC & LASER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELDON L ELLIS D.C. (SOLE OWNER)
(913) 592-2116
Entity
Organization
Contact information
Practice address
703 N WEBSTER ST, SPRING HILL, KS 66083-8745
(913) 592-2116
(913) 592-2117
Mailing address
703 N WEBSTER ST, SPRING HILL, KS 66083-8745
(913) 592-2116
(913) 592-2117
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02650016
BLUE CROSS BLUE SHIELD OF KANSAS CITY
MO
01
—
27203
BLUE CROSS BLUE SHIELD OF KANSAS
—
Enumeration date
12/03/2012
Last updated
12/03/2012
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