MEDICARE: EVOLVE CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1023597705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOLVE CHIROPRACTIC

Provider Business Mailing Address
First Line	:	19199 15 MILE RD
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48035-2508
Country	:	US
Telephone Number	:	586-791-5506
Fax Number	:	586-791-5575

Provider Business Practice Location Address
First Line	:	19199 15 MILE RD
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48035
Country	:	US
Telephone Number	:	586-791-5555
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. NICHOLAS CHARLES DUCHENE
Credential	:	DC
Telephone Number	:	248-996-0992

Provider Enumeration Date	:	08/13/2018
Last Update Date	:	03/13/2026

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Directions to “EVOLVE CHIROPRACTIC ” Practice Location

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