MEDICARE: EVRON CHRISTIAN HELLAND D.C.

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	5315	CO

General Provider Information

NPI Number	:	1760418511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVRON CHRISTIAN HELLAND D.C.

Provider Business Mailing Address
First Line	:	PO BOX 1131
Second Line	:
City	:	BUENA VISTA
State	:	CO
Zip	:	81211-1131
Country	:	US
Telephone Number	:	719-221-8893
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 ISABEL CT
Second Line	:
City	:	BUENA VISTA
State	:	CO
Zip	:	81211-9551
Country	:	US
Telephone Number	:	719-395-2595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	03/05/2023

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