JACK ELLIS I, PA-C
Physician Assistant
Active
Individual
NPI: 1346962982
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 50.007768RX (OH) |
Frequently Asked Questions
NPI 1346962982 is the National Provider Identifier for JACK ELLIS I, PA-C, a Physician Assistant provider located in Powell, OH. This NPI was enumerated on September 12, 2022.
JACK ELLIS I, PA-C practices at 4141 N HAMPTON DR STE 200, Powell, OH 43065.
Quick Facts
- NPI
- 1346962982
- Type
- Individual
- Enumerated
- Sep 12, 2022
- Last Updated
- Nov 21, 2022
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