EVERGREEN CHIROPRACTIC SC NPI 1720867047

NPI Information

  • NPI: 1720867047
  • Provider Name: EVERGREEN CHIROPRACTIC SC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: W69N968 WASHINGTON AVE
    CEDARBURG, WI
    ZIP 53012
  • Phone: (262) 375-4001

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NPI Details

EVERGREEN CHIROPRACTIC SC is a chiropractor in Cedarburg, WI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. EVERGREEN CHIROPRACTIC SC NPI is 1720867047. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

W69N968 WASHINGTON AVE
CEDARBURG, WI
ZIP 53012-207
Phone: (262) 375-4001

The provider's authorized official is Amanda Elyse Eberle .
The authorized official title is Owner and has the following contact phone number (815) 295-6681.

The enumeration date for this NPI number is 9/26/2023 and was last updated on 8/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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