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Contact Information

DETRA CALE ELLIS, D.C.
595 BEXAR AVE W
HAMILTON, AL35570
 Phone: 205-401-8437
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DETRA CALE ELLIS · (Female)

NPI # 1962673251
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 03/14/2008
Last updated 03/14/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 1634
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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