Organization
JASON M ELLIS DC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MAX ELLIS D.C. (MEMBER)
(248) 489-4044
Entity
Organization
Contact information
Practice address
1001 WELCH RD STE 111, COMMERCE TOWNSHIP, MI 48390-2864
(248) 779-9290
Mailing address
1001 WELCH RD STE 111, COMMERCE TOWNSHIP, MI 48390-2864
(248) 779-9290
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2301008416
MI
Other
Enumeration date
12/11/2007
Last updated
12/10/2020
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