Evening Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4047971-2 Issued in MN

Legal business name

EVENING CHIROPRACTIC CLINIC LLC

Practice address

1885 University Ave W
140
Saint Paul, MN 55104-3489

Phone

(651) 419-1069

NPI assigned

Mar 9, 2015

Last updated

Mar 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John R Renelus, D.C.

Title

Dr of Chiropractic

Phone

(651) 419-1069

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1548653090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 VINCENT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112839",
            "telephone_number": "651-419-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 UNIVERSITY AVE W",
            "address_2": "140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043489",
            "telephone_number": "651-419-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENING CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "RENELUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "651-419-1069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4047971-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsa Evans, PA-C
• Laura Ann Evans, NCTM
• Morgan Frances Evans
• Sheila Lynn Evans, PT
• Angus Brian Evanson
• Alayna Evens, WHNP-BC
• Everest Service Corporation
• Simon Everest
• Telesea Chantelle Everett, LICSW
• Evergreen Chiropractic

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.