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Individual

DR. ANGELA K EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1205 HIGHWAY 2 STE 101, SANDPOINT, ID 83864-2740
(208) 265-0743
Mailing address
1205 HIGHWAY 2 STE 101, SANDPOINT, ID 83864-2740
(208) 265-0743

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1038
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010144223
BLUE SHIELD
ID
01
5485361
CCN
ID
05
806677900
ID
01
870395551
CHP
ID
01
C3639
BLUE CROSS
ID
Enumeration date
08/31/2006
Last updated
08/06/2019
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