Ellis, Russell Lance

Ellis, Russell Lance is an individual health care provider with primary practice located at 9029 Reseda Blvd Suite 206, Northridge CA 91324-3932. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Ellis, Russell Lance can be contacted via phone (818) 701-0712.

Contact Information

Primary practice address
9029 Reseda Blvd Suite 206 Northridge CA 91324-3932
Phone: (818) 701-0712
Fax: (818) 701-9148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC14594 California
Chiropractic Providers / Sports Physician 111NS0005X DC14594 California

Profile Details

NPI number 1568430627
LBN Legal business name Ellis, Russell Lance
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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