Individual
DR. AMY LOU ELLENBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1050 31ST AVE SW STE C, MINOT, ND 58701-2005
(701) 839-2010
(701) 838-3497
Mailing address
1050 31ST AVE SW STE C, MINOT, ND 58701-2005
(701) 839-2010
(701) 838-3497
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
854
ND
Other
Enumeration date
01/06/2010
Last updated
06/12/2012
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