Organization
ELLINGSON FAMILY CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ELLINGSON D.C. (PRESIDENT)
(919) 541-9311
Entity
Organization
Contact information
Practice address
5410 NC HIGHWAY 55, SUITE E, DURHAM, NC 27713-7800
(919) 541-9311
Mailing address
5410 NC HIGHWAY 55, SUITE E, DURHAM, NC 27713-7800
(919) 541-9311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2950
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085GM
BLUECROSS BLUESHIELD
NC
01
—
651206
ACN
NC
05
—
89085GM
—
NC
Enumeration date
09/20/2006
Last updated
01/28/2011
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