John Marvin Everingham in Normal - Chiropractor
John Marvin Everingham - NPI 1972687457
John Marvin Everingham is a Chiropractor in Normal, Illinois. John Marvin Everingham practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John Marvin Everingham is 1972687457. The last update date is 2020-05-19.
John Marvin Everingham's current location address is 1603 Visa Dr, Normal, Illinois. You can contact this provider via phone number 3092689000 and fax number 3092689003. The mailing address for John Marvin Everingham is 1603 Visa Dr, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Marvin Everingham |
|---|---|
| Address | 1603 Visa Dr, Normal, Illinois |
| Phone Number | 3092689000 |
| Fax Number | 3092689003 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1972687457 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-05-19 |
Provider Mailing Address Detail
| Address | 1603 Visa Dr |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617612131 |
| Phone Number | 3092689000 |
| Fax Number | 3092689003 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-005103 |
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Definition: 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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5715397 | IL | BCBS OF ILLINOIS |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Marvin Everingham?
The John Marvin Everingham has been issued the NPI (National Provider Identifier) 1972687457 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where John Marvin Everingham is geographically located?
The John Marvin Everingham is physically situated at the following location: 1603 Visa Dr, Normal, IL, 617612131.
What is John Marvin Everingham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Marvin Everingham's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972687457 to John Marvin Everingham?
The Centers for Medicare & Medicaid Services assigned the 1972687457 to John Marvin Everingham on 2006-10-24.
When was the John Marvin Everingham's information last updated?
The John Marvin Everingham's information was last updated on 2020-05-19.