Individual
DR. JOHN LYNN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3391 COUNTY ROAD 2240, SALEM, MO 65560-8546
(573) 739-4010
(573) 458-9041
Mailing address
3391 COUNTY ROAD 2240, SALEM, MO 65560-8546
(573) 729-2295
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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