Evergreen Chiropractic SC
NPI 1720867047ActiveOrganization· Chiropractor· Cedarburg, WI
Chiropractor in Cedarburg, Wisconsin, registered in NPPES in September 2023. The authorized official on file is Amanda Elyse Eberle, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720867047 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2023 |
| Last updated in NPPES | Aug 29, 2024 |
| Certified by provider | Aug 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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