Healthcare Provider Details

I. General information

NPI: 1487642229
Provider Name (Legal Business Name): WESLEY SHAWN ROCKERS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

567 E OLMSTEAD AVE
EVANSVILLE IN
47711-3333
US

IV. Provider business mailing address

567 E OLMSTEAD AVE
EVANSVILLE IN
47711-3333
US

V. Phone/Fax

Practice location:
  • Phone: 812-426-1131
  • Fax: 812-401-0781
Mailing address:
  • Phone: 812-426-1131
  • Fax: 812-401-0781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002213A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: