JED RILEY ELLENBURG DC NPI 1093441685

NPI Information

  • NPI: 1093441685
  • Provider Name: JED RILEY ELLENBURG, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 221 S PENDLETON ST # 221
    EASLEY, SC
    ZIP 29640
  • Phone: (864) 442-5769

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NPI Details

Jed Riley Ellenburg, DC is a chiropractor in Easley, SC with 3 years of experience. 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. Jed Riley Ellenburg, DC NPI is 1093441685. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Graduation Year:2022

The provider's business location address is:

221 S PENDLETON ST # 221
EASLEY, SC
ZIP 29640-047
Phone: (864) 442-5769

The enumeration date for this NPI number is 7/27/2022 and was last updated on 7/27/2022.

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
1111N00000XChiropractor4838SOUTH CAROLINAYes

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: 3/30/2025

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