| Ellis Health Center Inc | |
|
243 Heritage St, Lone Grove, OK 73443 | |
| (580) 657-2225 | |
| (580) 657-2235 |
| Full Name | Ellis Health Center Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 243 Heritage St, Lone Grove, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679799308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3267 (Oklahoma) | Primary |
| Provider Name | Thomas C Ellis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700893054 PECOS PAC ID: 3274538665 Enrollment ID: I20060918000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Health Center Inc 243 Heritage, Ardmore, OK 73401-2089 Ph: (580) 657-2225 | Ellis Health Center Inc 243 Heritage St, Lone Grove, OK 73443 Ph: (580) 657-2225 |
Soul Purpose Dba Lone Grove Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 16982 Highway 70, Lone Grove, OK 73443 Phone: 580-657-6664 Fax: 580-657-6663 | |
Dr. Anthony Dewayne Leming, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: Hwy 70 W., Lone Grove, OK 73443 Phone: 580-657-6664 Fax: 580-657-6663 |