Individual
MR. JACOB ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7808 ULTRA DR, COLORADO SPRINGS, CO 80920-8058
(719) 209-5569
Mailing address
7808 ULTRA DR, COLORADO SPRINGS, CO 80920-8058
(719) 209-5569
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
1234
CO
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us