Roeder, Evan
Roeder, Evan is an individual health care provider with primary practice located at 8912 Blakeney Professional Dr Ste 100 , Charlotte NC 28277-6735. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Roeder, Evan can be contacted via phone (704) 544-5353.Contact Information
Primary practice address
8912 Blakeney Professional Dr Ste 100
Charlotte NC 28277-6735
Phone: (704) 544-5353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 5493 | North Carolina |
Profile Details
| NPI number | 1740927656 |
|---|---|
| LBN Legal business name | Roeder, Evan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2022 |
| Last updated | May 13th, 2022 - about 2 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 | 1740927656 | NPPES |
| North Carolina | Other | 5493 | NORTH CAROLINA |
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