person
Cole G. Ellis, DC
Chiropractor in San Diego, California
NPI 1578694212

Cole G. Ellis is a Chiropractor based in San Diego, CA. Cole G. Ellis practices in San Diego, CA and has the professional credentials of DC. The NPI Number for Cole G. Ellis is 1578694212 and holds a License No. DC29817 (California).

The current practice location address for Cole G. Ellis is 4490 Fanuel St, San Diego, CA and can be reached out via phone at 858-274-9116 and via fax at 858-274-9161.

Location: 4490 Fanuel St, San Diego, CA, 92109-8737
person
Provider Profile Details
NPI Number
1578694212
Provider Name
Cole G. Ellis
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4490 Fanuel St, San Diego, CA, 92109-8737
Phone Number
858-274-9116
Fax Number
858-274-9161
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC18323A 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
4490 Fanuel St
City
State
Zip
92109-4292
Phone Number
858-274-9116
Fax Number
858-274-9161
person
Provider Business Mailing Address Details
Address
4490 Fanuel St
City
State
Zip
92109-4292
Phone Number
858-274-9116
Fax Number
858-274-9161
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
DC29817 (California)
Definition
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.
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