EVERGREEN LIFE CHIROPRACTIC (NPI# 1093255127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093255127 |
| Entity Type | Organization |
| Organization Name | EVERGREEN LIFE CHIROPRACTIC |
| Practice Address |
32000 Woodward Ave Suite A Royal Oak MI 48073-0998 |
| Practice Telephone | 2488383195 |
| Mailing Telephone | 2488383195 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-10-15 |
| Authorized Official Name | DR. KRISTEN LAZZELL (CHIROPRACTOR) |
| Authorized Official Telephone | 2486079511 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010513 | MI | Chiropractic Providers |
| Street Address |
32000 WOODWARD AVE SUITE A |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-0998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023091469 | Robert J Mcdonald | Ophthalmology | 32000 Woodward Ave, Royal Oak, MI 48073-0998 | 2005-11-21 |
| 1902340979 | Kristen Lazzell | Chiropractor | 32000 Woodward Ave, Suite A, Royal Oak, MI 48073-0998 | 2016-12-11 |
| 1962419283 | Walter Stanley Cukrowski II | Ophthalmology | 32000 Woodward Ave, Suite A, Royal Oak, MI 48073-0998 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| 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 |
|---|---|---|---|---|
| 1285292045 | Progressive Chiropractic Clinic PC | Chiropractor | 716 W 11 Mile Rd, Royal Oak, MI 48067-2411 | 2019-06-05 |
| 1548650229 | Franklin Norton | Chiropractor | 116 Catalpa Dr, Royal Oak, MI 48067-1242 | 2015-02-02 |
| 1073834099 | David Sinawi | Chiropractor | 1638 E Lincoln Ave, Royal Oak, MI 48067-3403 | 2010-06-14 |
| 1508096082 | Kevin H Michaels | Chiropractor | 2027 Kenwood Ct, Royal Oak, MI 48067-1528 | 2009-07-20 |
| 1982838215 | Jc Chiropractic, LLC | Chiropractor | 1226 Cloverdale Dr, Royal Oak, MI 48067-1165 | 2009-05-14 |
| 1427213297 | Richard Alan Gowman | Chiropractor | 212 E Windemere Ave, Royal Oak, MI 48073-2678 | 2008-07-22 |
| 1790958627 | Optimal Wellness Family Chiropractic, Inc | Chiropractor | 3302 Crooks Rd, Royal Oak, MI 48073-2446 | 2008-04-11 |
| 1376674135 | Allyson Jean Grabowski | Chiropractor | 710 W 11 Mile Rd, Royal Oak, MI 48067-2411 | 2007-03-07 |
| 1093880452 | Daniel J Sullivan | Chiropractor | 311 E 4th St, Royal Oak, MI 48067-2705 | 2006-11-21 |
| 1871687814 | Progressive Chiropractic Pllc | Chiropractor | 716 W. 11 Mile Rd., Royal Oak, MI 48067 | 2006-10-03 |
| Find all providers in ROYAL OAK | ||||
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| 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.