| Dr Jonathan Matthew Ellis, BS, DC | |
|
123 Market St, Man, WV 25635-1216 | |
| (304) 688-1204 | |
| Not Available |
| Full Name | Dr Jonathan Matthew Ellis |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 123 Market St, Man, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083634026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 823 (West Virginia) | Primary |
| Provider Name | Logan-mingo Area Mental Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427522218 PECOS PAC ID: 0840240362 Enrollment ID: O20190620002377 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Matthew Ellis, BS, DC 123 Market St, Man, WV 25635-1216 Ph: (304) 688-1204 | Dr Jonathan Matthew Ellis, BS, DC 123 Market St, Man, WV 25635-1216 Ph: (304) 688-1204 |
Mountain State Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Market St, Man, WV 25635 Phone: 304-583-6400 |
Melissa White, D C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Market St, Man, WV 25635 Phone: 304-583-6400 Fax: 304-583-6800 |
John White Iii, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Market St, Man, WV 25635 Phone: 304-583-6400 Fax: 304-583-6800 |