institution
Evergreen Wellness Group Llc
Chiropractor in Meridian, Idaho
NPI 1477820215

Evergreen Wellness Group Llc is a Chiropractor based in Meridian, ID. Evergreen Wellness Group Llc practices in Meridian, ID. The NPI Number for Evergreen Wellness Group Llc is 1477820215 and holds a License No. CHIA-1153 (Idaho).

The current practice location address for Evergreen Wellness Group Llc is 1640 W Cherry Ln, Meridian, ID and can be reached out via phone at 208-895-8595 and via fax at 208-895-8594. You can also correspond with Evergreen Wellness Group Llc through the mailing address at 1640 W CHERRY LN, MERIDIAN, ID - 83642-8187 (mailing address contact number: 208-895-8595).

Location: 1640 W Cherry Ln, Meridian, ID, 83642-8187
institution
Provider Profile Details
NPI Number
1477820215
Provider Name
Evergreen Wellness Group Llc
Credential
Provider Entity Type
Organization
Address
1640 W Cherry Ln, Meridian, ID, 83642-8187
Phone Number
208-895-8595
Fax Number
208-895-8594
Provider Enumeration Date
11/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700106663 05 ID
institution
Provider Business Practice Location Address Details
Address
1640 W Cherry Ln
City
State
Zip
83642-8187
Phone Number
208-895-8595
Fax Number
208-895-8594
person
Provider Business Mailing Address Details
Address
1640 W Cherry Ln
City
State
Zip
83642-8187
Phone Number
208-895-8595
Fax Number
208-895-8594
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CHIA-1153 (Idaho)
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.
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