Provider Demographics
NPI:1174276463
Name:CRICHTON, EVAN W (DC)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:W
Last Name:CRICHTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 CHIQUITA BLVD S STE 1
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-5111
Mailing Address - Country:US
Mailing Address - Phone:239-800-5197
Mailing Address - Fax:
Practice Address - Street 1:3316 CHIQUITA BLVD S STE 1
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-5111
Practice Address - Country:US
Practice Address - Phone:239-800-5197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13884111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor