ELLISON FAMILY CHIROPRACTIC (NPI# 1508188400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508188400 |
| Entity Type | Organization |
| Organization Name | ELLISON FAMILY CHIROPRACTIC |
| Practice Address |
3225 W Bavaria St Suite 101 Eagle ID 83616-5413 |
| Practice Telephone | 2088848848 |
| Practice Fax Number | 2088848802 |
| Mailing Telephone | 2088848848 |
| Mailing Fax Number | 2088848802 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2012-04-04 |
| Authorized Official Name | DR. GARY CRAIG ELLISON (OWNER) |
| Authorized Official Telephone | 2088848848 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA-845 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807028500 | 05 |
| Street Address |
3225 W BAVARIA ST SUITE 101 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-5413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063903359 | The Chiropractor At Castlebury | Chiropractor | 3225 W Bavaria St Ste 101, Eagle, ID 83616-5547 | 2018-05-23 |
| 1497298467 | Adam Bernard Holen | Chiropractor | 77 Gambel St # B, Eagle, CO 81631-5957 | 2016-11-23 |
| 1770980302 | Jennifer Maltby | Chiropractor | 1299 E Iron Eagle Dr, Ste 130, Eagle, ID 83616-6869 | 2014-11-25 |
| 1407260318 | Eagle Integrated Medicine | Chiropractor | 717a Sylvan Lake Rd, Eagle, CO 81631 | 2014-06-18 |
| 1033499025 | Patrick Norman Stromer | Chiropractor | 742 E State St Ste 150, Eagle, ID 83616-5941 | 2011-08-22 |
| 1396980066 | Christie Ann Hafer | Chiropractor | 435 E Shore Dr, Suite 110, Eagle, ID 83616-5753 | 2008-12-10 |
| 1427213693 | Jeremy Lamont Payne | Chiropractor | 947 E Winding Creek Dr Ste 200, Eagle, ID 83616-7231 | 2008-07-27 |
| 1639333073 | Jeremai Joy Hafer | Chiropractor | 1155 E Winding Creek Drive, Eagle, ID 83616-5759 | 2008-07-15 |
| 1780883389 | Gary Craig Ellison | Chiropractor | 3225 W Bavaria St 101, Eagle, ID 83616-5547 | 2007-07-13 |
| 1528274677 | Todd Micheal Carmer | Chiropractor | 115 East 2nd Street, Eagle, CO 81631-4353 | 2007-05-15 |
| Find all providers in EAGLE | ||||
Please comment or provide details below to improve the information on ELLISON FAMILY CHIROPRACTIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.