Jason Donald Ellenbecker, OTC
Jason Donald Ellenbecker, OTC is an Orthopedic Assistant in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.
- Licensed in
- MN
- In the registry since
- 2022
Practice location Address checks out
2700 Vikings CirEagan, MN 55121-1002
Phone: (952) 456-7600
Fax: (952) 456-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Assistant (primary) | Taxonomy 246ZX2200X · Licence 11811 (MN) |
|---|
Record details
| NPI number | 1518675461 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTC |
| Sole proprietor | No |
| NPI enumerated | November 9, 2022 |
| Last updated in NPPES | November 9, 2022 |
| Certification date | November 9, 2022 |