Ellison, Gary Craig
Ellison, Gary Craig is an sole proprietor health care provider with primary practice located at 3225 W Bavaria St 101 , Eagle ID 83616-5547. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ellison, Gary Craig can be contacted via phone (208) 884-8848.Contact Information
Primary practice address
3225 W Bavaria St 101
Eagle ID 83616-5547
Phone: (208) 884-8848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | C8455 | Idaho |
Profile Details
| NPI number | 1780883389 |
|---|---|
| LBN Legal business name | Ellison, Gary Craig |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Nov 16th, 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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