Dr. Michael Edward Ellis
Chiropractic Sports Physician
1020 N Main St
Crossville
, Tennessee 38555-4091
Dr. Michael Edward Ellis
Chiropractic Sports Physician
1020 N Main St
Crossville
, Tennessee 38555-4091
(931) 484-7108
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Michael Edward Ellis
- 1020 N Main St
- Crossville, TN
- Zip : 38555-4091
- Fax : (931) 484-7108
- Phone : (931) 484-3135
Second Address
- Dr. Michael Edward Ellis
- 1020 N Main St
- Crossville, TN
- Zip : 38555-4091
- Fax : (931) 484-7108
- Phone : (931) 484-3135
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | DC0436 | TN |
National Provider Identifier
| NPI | 1144229782 |
|---|---|
| Provider Name | Dr. Michael Edward Ellis |
| First Address | Crossville, TN 38555-4091 |
| Second Address | Crossville, TN 38555-4091 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2005 |
| Last Update Date | 01/04/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.