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EVAN ROEDER DC NPI 1740927656


NPI Information

NPI: 1740927656
Provider Name: EVAN ROEDER, DC
Classification: Chiropractor - 111NS0005X
Entity Type: Individual

Specialization: Sports Physician

Address:
8912 BLAKENEY PROFESSIONAL DR STE 100
CHARLOTTE, NC
ZIP 28277
Phone: (704) 544-5353
Get Directions

Evan Roeder, DC is a sports physician chiropractor in Charlotte, NC with 2 years of experience. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. Evan Roeder, DC NPI is 1740927656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK CHIROPRACTIC COLLEGE
Graduation Year:2022

The provider's business location address is:

8912 BLAKENEY PROFESSIONAL DR STE 100
CHARLOTTE, NC
ZIP 28277-735
Phone: (704) 544-5353

The enumeration date for this NPI number is 5/13/2022 and was last updated on 5/13/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports Physician5493NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15493OTHERNORTH CAROLINANORTH CAROLINA

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: 4/28/2024

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