Roger D. Ellis
Chiropractor Orthopedic Specialist
1508 Scottsville Rd
Lafayette
, Tennessee 37083-2237
Roger D. Ellis
Chiropractor Orthopedic Specialist
1508 Scottsville Rd
Lafayette
, Tennessee 37083-2237
(501) 749-6205
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Roger D. Ellis
- 1508 Scottsville Rd
- Lafayette, TN
- Zip : 37083-2237
- Phone : (501) 749-6205
Second Address
- Roger D. Ellis
- 1508 Scottsville Rd
- Lafayette, TN
- Zip : 37083-2237
- Phone : (501) 749-6205
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111NX0800X | Chiropractor Orthopedic Specialist | 1255 | AR |
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1333 | TN |
National Provider Identifier
| NPI | 1457599284 |
|---|---|
| Provider Name | Roger D. Ellis |
| First Address | Lafayette, TN 37083-2237 |
| Second Address | Lafayette, TN 37083-2237 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/02/2009 |
| Last Update Date | 02/02/2009 |
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.