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THOMAS P ELLIS DC PA NPI 1659617090


NPI Information

NPI: 1659617090
Provider Name: THOMAS P ELLIS DC PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
214 PASADENA AVE S
ST PETERSBURG, FL
ZIP 33707
Phone: (727) 341-1234
Get Directions

THOMAS P ELLIS DC PA is a chiropractor in St Petersburg, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. THOMAS P ELLIS DC PA NPI is 1659617090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

214 PASADENA AVE S
ST PETERSBURG, FL
ZIP 33707-251
Phone: (727) 341-1234
Fax: (727) 345-0843

The provider's authorized official is Thomas Paul Ellis .
The authorized official title is President and has the following contact phone number (727) 341-1234.

The enumeration date for this NPI number is 12/12/2012 and was last updated on 12/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCH00004294FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1051111100MEDICAIDFLORIDA
2T84558MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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