Evans, Keith Alan

Evans, Keith Alan is an individual health care provider with primary practice located at 4220 Treadway Rd , Beaumont TX 77706-7105. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Evans, Keith Alan can be contacted via phone (409) 833-5600.

Contact Information

Primary practice address
4220 Treadway Rd Beaumont TX 77706-7105
Fax: (409) 833-2111
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5213 Texas

Profile Details

NPI number 1992704688
LBN Legal business name Evans, Keith Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jun 16th, 2010 - about 14 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 1992704688 NPPES
Texas Other 8F0631 BLUE CROSS BLUE SHIELD

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