IndividualActive
Jason Ellis, D.C.
NPI 1366583163 · Nutrition Chiropractor · Michigan Center, MI
Provider details
- NPI number
- 1366583163
- Entity type
- Individual
- Primary specialty
- Nutrition ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 2301008416 (MI)
Specialties & taxonomies
Chiropractic Providers
Practice location
4010 Page Ave
Ste 104
Michigan Center, MI 49254-1026
Phone: (248) 489-4044
Fax: (248) 489-4055
Approximate (ZIP-level) locationGet directions
Mailing address
1001 Welch Rd
Commerce Township, MI 48390-2864
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2020-12-14
- Certified
- 2020-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.