Provider Demographics
NPI:1912680893
Name:ARIAS, ELLIE (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:ELLIE
Middle Name:
Last Name:ARIAS
Suffix:
Gender:F
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-7110
Mailing Address - Country:US
Mailing Address - Phone:605-593-1932
Mailing Address - Fax:
Practice Address - Street 1:2660 STATE ST
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06517-2226
Practice Address - Country:US
Practice Address - Phone:203-675-1644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor