Evans, Gerald David

Evans, Gerald David is an sole proprietor health care provider with primary practice located at 937 Main St , New Milford PA 18834-7431. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Evans, Gerald David can be contacted via phone (570) 465-3444.

Contact Information

Primary practice address
937 Main St New Milford PA 18834-7431
Phone: (570) 465-3444
Fax: (570) 465-5400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC04995L Pennsylvania

Profile Details

NPI number 1689663676
LBN Legal business name Evans, Gerald David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Nov 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689663676 NPPES
Pennsylvania Other 836180 AETNA
Pennsylvania MEDICAID 0012964820002 AETNA
Pennsylvania Other 511796 AETNA

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