Provider Demographics
NPI:1144279324
Name:PREFERRED HEALTH OF MONTEVIDEO, P.A.
Entity type:Organization
Organization Name:PREFERRED HEALTH OF MONTEVIDEO, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-532-7458
Mailing Address - Street 1:303 OCONNELL ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-2637
Mailing Address - Country:US
Mailing Address - Phone:507-532-7458
Mailing Address - Fax:507-532-5612
Practice Address - Street 1:1845 E HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:MONTEVIDEO
Practice Address - State:MN
Practice Address - Zip Code:56265-1718
Practice Address - Country:US
Practice Address - Phone:320-269-4774
Practice Address - Fax:320-269-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty