Individual
DR. MICK ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15 SULLIVAN DR APT B, ELMA, NY 14059-9510
(716) 239-7935
Mailing address
15 SULLIVAN DR APT B, ELMA, NY 14059-9510
(716) 239-7935
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012390-1
NY
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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