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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689663676 | NPPES |
| Pennsylvania | Other | 836180 | AETNA |
| Pennsylvania | MEDICAID | 0012964820002 | AETNA |
| Pennsylvania | Other | 511796 | AETNA |
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