Evans, Michelle K

Evans, Michelle K is an individual health care provider with primary practice located at 805 W Broadway Ave , Medford WI 54451-1307. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Evans, Michelle K can be contacted via phone (715) 748-2334.

Contact Information

Primary practice address
805 W Broadway Ave Medford WI 54451-1307
Phone: (715) 748-2334
Fax: (715) 748-1124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3911 Wisconsin

Profile Details

NPI number 1083653133
LBN Legal business name Evans, Michelle K
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083653133 NPPES
Wisconsin MEDICAID 38945000
Wisconsin Other 000335789
Wisconsin Other 610537900
Wisconsin Other 000335789
Wisconsin Other 99315
Wisconsin Other 000335789
Wisconsin Other 000335789

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