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EVERGREEN CHIROPRACTIC SC
NPI 1720867047
Chiropractor in Cedarburg, WI

Active since September 26, 2023
W69N968 WASHINGTON AVE, CEDARBURG, WI 53012(262) 375-4001 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Chiropractic Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN CHIROPRACTIC SC (NPI 1720867047) is a healthcare organization registered as a chiropractor in Cedarburg, Wisconsin and active in the NPI registry since September 2023. The organization lists Amanda Elyse Eberle, Owner, as its authorized official.

NPPES Registry Identity

NPI1720867047
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEVERGREEN CHIROPRACTIC SC
Location AddressW69N968 WASHINGTON AVECedarburg, WI 53012-3207
Mailing AddressN67w5486 Columbia RdCedarburg, WI 53012-2126 · (815) 291-6681
Phone(262) 375-4001
Organization SubpartNo
Authorized OfficialAmanda Elyse EberleOwner · (815) 295-6681
Enumeration DateSeptember 26, 2023
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1720867047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
W69N968 WASHINGTON AVE, Cedarburg, WI 53012
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAN L JOHNSON DC
Chiropractor
W69N968 WASHINGTON AVE
CEDARBURG, WI 53012
Ozaukee County (262) 375-4001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Chiropractic Sc's NPI number?

The NPI number for Evergreen Chiropractic Sc is 1720867047. It was assigned to this organization in the NPPES registry on September 26, 2023.

Where is Evergreen Chiropractic Sc located?

Evergreen Chiropractic Sc is located at W69n968 Washington Ave, Cedarburg, WI 53012. The listed phone number is (262) 375-4001.

What is Evergreen Chiropractic Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Chiropractic Sc was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.