Individual
DR. ELDON L ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
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
C3234
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02650016
BLUE CROSS BLUE SHIELD
MO
01
—
27203
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/16/2006
Last updated
09/25/2012
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