Organization
EVANS CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD DAVID EVANS DC (OWNER)
(570) 465-3444
Entity
Organization
Contact information
Practice address
182 MAIN ST, NEW MILFORD, PA 18834-2114
(570) 465-3444
(570) 465-5400
Mailing address
182 MAIN ST, PO BOX 484, NEW MILFORD, PA 18834-2114
(570) 465-3444
(570) 465-5400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC04995L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012964820002
—
PA
01
—
511796
BLUE SHIELD
PA
01
—
836180
AETNA
PA
Enumeration date
07/04/2006
Last updated
08/22/2020
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