Individual
MATTHEW P ELLERBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
120 N MAIN ST, SUITE A, BLUFFTON, OH 45817-0205
(419) 358-2222
(419) 932-6950
Mailing address
120 N MAIN ST, SUITE A, BLUFFTON, OH 45817-1201
(419) 358-2222
(419) 932-6950
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2927
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149160
—
OH
Enumeration date
11/20/2006
Last updated
08/09/2016
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