Healthcare Provider Details
I. General information
NPI: 1992991178
Provider Name (Legal Business Name): ROCKERS CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2007
Last Update Date: 05/19/2025
Certification Date: 04/28/2025
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
- Phone: 812-426-1131
- Fax: 812-401-0781
- Phone: 812-426-1131
- Fax: 812-401-0781
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NI0013X |
| Taxonomy | Independent Medical Examiner Chiropractor |
| License Number | 08002213A |
| License Number State | IN |
VIII. Authorized Official
Name:
WESLEY
S
ROCKERS
Title or Position: CEO/OWNER
Credential: D.C.
Phone: 812-426-1131