| Evergreen Healthcare Associates | |
|
1027 E Chestnut Ave, Vineland, NJ 08360-5838 | |
| (856) 691-6055 | |
| Not Available |
| Full Name | Evergreen Healthcare Associates |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Neurology |
| Location | 1027 E Chestnut Ave, Vineland, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013593748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN0400X | Chiropractor - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kirishma J Patel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801285945 PECOS PAC ID: 9234436106 Enrollment ID: I20160322000159 |
| Provider Name | Latia M Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740640309 PECOS PAC ID: 6406139542 Enrollment ID: I20170215000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Healthcare Associates 1027 E Chestnut Ave, Vineland, NJ 08360-5838 Ph: (856) 691-6055 | Evergreen Healthcare Associates 1027 E Chestnut Ave, Vineland, NJ 08360-5838 Ph: (856) 691-6055 |
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