| Evolve Chiropractic Llc | |
|
302 N 168th Cir Ste 208, Omaha, NE 68118-4089 | |
| (402) 415-0277 | |
| Not Available |
| Full Name | Evolve Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 302 N 168th Cir Ste 208, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003665456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Derrick Vander Linden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932963899 PECOS PAC ID: 5193269397 Enrollment ID: I20240626001066 |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Chiropractic Llc 302 N 168th Cir Ste 208, Omaha, NE 68118-4089 Ph: (402) 415-0277 | Evolve Chiropractic Llc 302 N 168th Cir Ste 208, Omaha, NE 68118-4089 Ph: (402) 415-0277 |
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