ELIESHA R EVANS DC SC (NPI# 1154631349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154631349 |
| Entity Type | Organization |
| Organization Name | ELIESHA R EVANS DC SC |
| Other Organization Name | EVANS CHIROPRACTIC HEALTH CLINIC |
| Practice Address |
15720w National Ave New Berlin WI 53151-5119 |
| Practice Telephone | 2627855515 |
| Practice Fax Number | 2627855525 |
| Mailing Telephone | 2627855515 |
| Mailing Fax Number | 2627855525 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |
| Authorized Official Name | DR. ELIESHA RUTH EVANS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2627855515 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2880 | WI | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| EVANS CHIROPRACTIC HEALTH CLINIC | Doing Business As Name - Organization |
| Street Address |
15720W NATIONAL AVE |
| City | NEW BERLIN |
| State | WI |
| Zip Code | 53151-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629527486 | Natural Look Salon and Wigs LLC | Durable Medical Equipment & Medical Supplies | 4805 S. Moorland Rd, New Berlin, WI 53151 | 2016-09-22 |
| 1396193033 | New Berlin Medical Services, LLC | Clinic/Center | 15324 W Beloit Road, New Berlin, WI 53151 | 2016-06-02 |
| 1063899680 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 15300 West Grange Avenue, New Berlin, WI 53151 | 2015-05-04 |
| 1871970368 | Mary Spath | Physical Therapy Assistant | 2810 South Acredale Road, New Berlin, WI 53151 | 2015-05-04 |
| 1669885471 | Wauwatosa Prescription Center, Inc. | Pharmacy | 4855 S Moorland Road, New Berlin, WI 53151 | 2014-06-09 |
| 1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
| 1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
| 1053653618 | Danielle Lynn Lucio | Acupuncturist | 15807 W. National Ave., New Berlin, WI 53151 | 2013-03-21 |
| 1306195110 | Marlena J Friedrich | Registered Nurse | 1709 S. 171st Street, New Berlin, WI 53151 | 2012-09-07 |
| 1548519176 | Patricia M Friedrich | Licensed Practical Nurse | 1709 So. 171st Street, New Berlin, WI 53151 | 2012-08-29 |
| Find all providers in zip 53151 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477086486 | Emily Johanna Johnson | Chiropractor | 16645 W Greenfield Ave Ste D, New Berlin, WI 53151-1546 | 2017-04-06 |
| 1407392798 | Evan Norum | Chiropractor | 17047 W Greenfield Ave, New Berlin, WI 53151-1364 | 2017-01-11 |
| 1326407388 | Kelly Buetow | Chiropractor | 14999 W Beloit Rd Ste A, New Berlin, WI 53151-7438 | 2016-02-18 |
| 1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
| 1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
| 1205057312 | Jeff Durski | Chiropractor | 14999 W. Beloit Road, Suite A, New Berlin, WI 53151 | 2007-05-02 |
| 1396884920 | Scott Simkowski, D.c., S.c. | Chiropractor | 12414 W National Ave, New Berlin, WI 53151-4054 | 2007-02-06 |
| 1487756573 | Patrick Sean Casey | Chiropractor | 14700 W National Ave, New Berlin, WI 53151-4425 | 2006-09-01 |
| 1477510949 | Michelle S Stafford | Chiropractor | 3333 S Sunnyslope Rd, 108, New Berlin, WI 53151-4502 | 2006-04-28 |
| 1518964394 | James P Koshick | Chiropractor | 15800 W National Ave, New Berlin, WI 53151-5121 | 2005-07-07 |
| Find all providers in NEW BERLIN | ||||
| City | NEW BERLIN |
| Zip Code | 53151 |
Please comment or provide details below to improve the information on ELIESHA R EVANS DC SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.