| Evansdale Chiropractic Clinic, Plc | |
|
209 S Evans Rd, Evansdale, IA 50707-1121 | |
| (319) 234-4872 | |
| (319) 236-0670 |
| Full Name | Evansdale Chiropractic Clinic, Plc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 209 S Evans Rd, Evansdale, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477581478 | NPI | - | NPPES |
| 0287854 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | A5374 (Iowa) | Primary |
| Provider Name | Christopher Joe Fretheim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578594883 PECOS PAC ID: 6406970029 Enrollment ID: I20100902000505 |
| Provider Name | Duane A Widen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578593240 PECOS PAC ID: 3577687193 Enrollment ID: I20100902000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Evansdale Chiropractic Clinic, Plc 209 S Evans Rd, Evansdale, IA 50707-1121 Ph: (319) 234-4872 | Evansdale Chiropractic Clinic, Plc 209 S Evans Rd, Evansdale, IA 50707-1121 Ph: (319) 234-4872 |
Dr. Duane Alan Widen, DC, DIBCN Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 209 S Evans Rd, Evansdale, IA 50707 Phone: 319-234-4872 Fax: 319-236-0670 | |
Dr. Chris Joe Fretheim, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 209 S Evans Rd, Evansdale, IA 50707 Phone: 319-234-4872 Fax: 319-236-0670 | |
Dr. Joseph Edward Knebel, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 209 S Evans Rd, Evansdale, IA 50707 Phone: 319-234-4872 Fax: 319-236-0670 | |
Dr. Kyle Borrett, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 209 S Evans Rd, Evansdale, IA 50707 Phone: 319-234-4872 Fax: 319-236-0670 |