Dr Evan Michael Gwilliam, DC is a
Chiropractor based in Eagle Mountain, Utah. Dr Evan Michael Gwilliam is licensed to practice in Utah (license number 7744544-1202) and his current practice location is
7733 Grant St, Eagle Mountain, Utah. He can be reached at his office (for appointments etc.) via phone at
(360) 904-0205.
NPI number for Dr Evan Michael Gwilliam is 1073587424 and his current mailing address is 7733 Grant St, Eagle Mountain, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073587424.
Healthcare Provider's Profile
| Full Name | Dr Evan Michael Gwilliam |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 7733 Grant St, Eagle Mountain, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073587424
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 12/31/2014
Medical Identifiers
Medical identifiers for Dr Evan Michael Gwilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073587424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 7744544-1202 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Evan Michael Gwilliam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Evan Michael Gwilliam, DC
7733 Grant St,
Eagle Mountain, UT 84005-3862
Ph: (360) 904-0205 | Dr Evan Michael Gwilliam, DC
7733 Grant St,
Eagle Mountain, UT 84005-3862
Ph: (360) 904-0205 |
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