Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON MAX ELLIS, D.C.
ActiveJASON MAX ELLIS, D.C. is a Nutrition (Chiropractor) healthcare provider located in MICHIGAN CENTER, Michigan. NPI 1366583163 is currently active in the NPPES registry. Verify at CMS.
Nutrition (Chiropractor) · MICHIGAN CENTER, MI
Registration Details
- NPI Number
- 1366583163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2007 (19.522433146794 yrs)
- Last Updated
- Dec 14, 2020
- License
-
2301008416 (MI)
Practice Information
- Address
-
4010 PAGE AVESTE 104MICHIGAN CENTER, MI, 492541026Browse MI providers · Browse ZIP 49254
- Phone
- 2484894044
- Fax
- 2484894055
- Primary Specialty
-
Nutrition (Chiropractor)
111NN1001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.