Evans, Robert

Evans, Robert is an sole proprietor health care provider with primary practice located at 726 Market St , Paterson NJ 07513-1235. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Evans, Robert can be contacted via phone (973) 742-1177.

Contact Information

Primary practice address
726 Market St Paterson NJ 07513-1235
Fax: (973) 742-6031
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00221500 New Jersey

Profile Details

NPI number 1629284195
LBN Legal business name Evans, Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jan 30th, 2008 - about 17 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 1629284195 NPPES
New Jersey MEDICAID 3314901

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