Individual
DR. AUSTIN COLE ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2955 W SYLVANIA AVE, TOLEDO, OH 43613-4227
(419) 473-2955
Mailing address
2955 W SYLVANIA AVE, TOLEDO, OH 43613-4227
(419) 473-2955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
05305
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932119559
NPI GROUP
OH
05
—
2316774
—
OH
Enumeration date
10/10/2023
Last updated
10/10/2023
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