Individual
DR. WENDELL L. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1475 SIMPSON RD W, SUITE 1, LENOIR CITY, TN 37771-6685
(865) 988-9088
(865) 988-9299
Mailing address
1475 SIMPSON RD W, SUITE 1, LENOIR CITY, TN 37771-6685
(865) 988-9088
(865) 988-9299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
434
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4078449
BLUE CROSS BLUE SHIELD
TN
01
—
610495500
USPS INJURY COMP.
TN
01
—
702004131
CARITEN
TN
01
—
9416305
CIGNA
TN
Enumeration date
05/04/2006
Last updated
01/04/2011
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