Individual
DR. EVAN JON BEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
68 N HIGH ST, SUITE E 106, NEW ALBANY, OH 43054-8915
(614) 855-5454
(614) 283-5400
Mailing address
68 N HIGH ST, SUITE E 106, NEW ALBANY, OH 43054-8915
(614) 855-5454
(614) 283-5400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
245
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119618
ANTHEM
—
05
—
0184312
—
OH
Enumeration date
08/29/2006
Last updated
11/22/2012
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