Organization
EVERGREEN WELLNESS GROUP LLC
Active
Other names
Evergreen Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW D HALES D.C. (OWNER)
(208) 895-8595
Entity
Organization
Contact information
Practice address
1640 W CHERRY LN, SUITE 130, MERIDIAN, ID 83642-8187
(208) 895-8595
(208) 895-8594
Mailing address
1640 W CHERRY LN, SUITE 130, MERIDIAN, ID 83642-8187
(208) 895-8595
(208) 895-8594
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1153
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700106663
—
ID
Enumeration date
11/22/2011
Last updated
11/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us