| Ellis Chiropractic | |
|
1802 S Broadway St, Marlow, OK 73055-8691 | |
| (580) 721-7007 | |
| (580) 721-7008 |
| Full Name | Ellis Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1802 S Broadway St, Marlow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407204480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4076 (Oklahoma) | Primary |
| Provider Name | Jesse Ellis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093063950 PECOS PAC ID: 5799934634 Enrollment ID: I20121009000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Chiropractic 1802 S Broadway St, Marlow, OK 73055-8691 Ph: (580) 721-7007 | Ellis Chiropractic 1802 S Broadway St, Marlow, OK 73055-8691 Ph: (580) 721-7007 |
Dr. Brent Michael Boozer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 412 N Broadway St, Marlow, OK 73055 Phone: 580-658-6604 Fax: 580-658-5111 | |
Dr. Jesse Lee Ellis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1802 S Broadway St, Marlow, OK 73055 Phone: 580-721-7007 Fax: 580-721-7008 | |
Lepien Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1202b S Broadway St, Marlow, OK 73055 Phone: 580-658-1042 Fax: 580-658-5312 | |
Lepien Wellness Clinic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1202 S Broadway St, Marlow, OK 73055 Phone: 580-658-1042 Fax: 580-658-1042 | |
Culver Clinic Of Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 412 N Broadway St, Marlow, OK 73055 Phone: 580-658-6604 Fax: 580-652-5111 |