Organization · Type 2 NPI

Evergreen Wellness Group LLC

Chiropractor · Meridian, ID

NPI number 1477820215 Active

Practice location

1640 W Cherry Ln, Suite 130
Meridian, ID 83642-8187

Call (208) 895-8595 Map

Fax (208) 895-8594

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-1153 (ID)

Chiropractor: 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.

4 other providers at this address

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About NPI 1477820215

Evergreen Wellness Group LLC's National Provider Identifier is 1477820215, issued on Nov 22, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Meridian, ID. The record was last updated on Nov 22, 2011.