Provider Demographics
NPI:1629618780
Name:EVERSMAN CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:EVERSMAN CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-570-4190
Mailing Address - Street 1:1550 OLD HENDERSON RD STE 160
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3696
Mailing Address - Country:US
Mailing Address - Phone:614-725-5336
Mailing Address - Fax:
Practice Address - Street 1:1550 OLD HENDERSON RD STE 160
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3696
Practice Address - Country:US
Practice Address - Phone:614-725-5336
Practice Address - Fax:614-725-5337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty