Ellerbrock, Matthew P
Ellerbrock, Matthew P is an sole proprietor health care provider with primary practice located at 120 N Main St Suite A, Bluffton OH 45817-0205. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ellerbrock, Matthew P can be contacted via phone (419) 358-2222.Contact Information
Primary practice address
120 N Main St Suite A
Bluffton OH 45817-0205
Phone: (419) 358-2222
Fax: (419) 932-6950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2927 | Ohio |
Profile Details
| NPI number | 1417021692 |
|---|---|
| LBN Legal business name | Ellerbrock, Matthew P |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Aug 9th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417021692 | NPPES |
| Ohio | MEDICAID | 2149160 |
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