Ellis, Jeremy
Ellis, Jeremy is an sole proprietor health care provider with primary practice located at 4901 Friedman Ln , Fort Worth TX 76244-6121. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Ellis, Jeremy can be contacted via phone (682) 302-4476.Contact Information
Primary practice address
4901 Friedman Ln
Fort Worth TX 76244-6121
Phone: (682) 302-4476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 11376 | Texas |
Profile Details
| NPI number | 1740663905 |
|---|---|
| LBN Legal business name | Ellis, Jeremy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2015 |
| Last updated | Jul 7th, 2015 - about 9 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.
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