S E Ewen PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011828 Issued in IL

Legal business name

S E EWEN PLLC

Practice address

3724 46TH Ave
Rock Island, IL 61201-7047

Phone

(309) 786-2071

Fax

(309) 558-1832

NPI assigned

Feb 5, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susan Emily Ewen, D.C

Title

Chiropractor

Phone

(563) 570-0812

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1134425366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 SCOTT ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032715",
            "telephone_number": "563-570-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 46TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017047",
            "telephone_number": "309-786-2071",
            "fax_number": "309-558-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S E EWEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-05",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "EWEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "EMILY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-570-0812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.