Provider Demographics
NPI:1659346997
Name:SWEARINGEN, EVELYN MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:MARIE
Last Name:SWEARINGEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-5431
Mailing Address - Country:US
Mailing Address - Phone:319-752-9458
Mailing Address - Fax:
Practice Address - Street 1:701 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-5431
Practice Address - Country:US
Practice Address - Phone:319-752-3913
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T01349Medicare UPIN
23536Medicare ID - Type Unspecified