Provider Demographics
NPI:1992991178
Name:ROCKERS CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:ROCKERS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROCKERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-426-1131
Mailing Address - Street 1:2836 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-6753
Mailing Address - Country:US
Mailing Address - Phone:812-426-1131
Mailing Address - Fax:812-425-6260
Practice Address - Street 1:567 E OLMSTEAD AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-3333
Practice Address - Country:US
Practice Address - Phone:812-426-1131
Practice Address - Fax:812-401-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002213A111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN5739250001Medicare NSC
INV06034Medicare UPIN
IN230600AMedicare PIN