Provider Demographics
NPI:1760418511
Name:HELLAND, EVRON CHRISTIAN (DC)
Entity Type:Individual
Prefix:
First Name:EVRON
Middle Name:CHRISTIAN
Last Name:HELLAND
Suffix:
Gender:M
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:PO BOX 1131
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81211-1131
Mailing Address - Country:US
Mailing Address - Phone:719-221-8893
Mailing Address - Fax:
Practice Address - Street 1:105 ISABEL CT
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:CO
Practice Address - Zip Code:81211-9551
Practice Address - Country:US
Practice Address - Phone:719-395-2595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU98855Medicare UPIN
COC522158Medicare ID - Type Unspecified