Provider Demographics
NPI:1265486385
Name:EVEC, ANDREW MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MICHAEL
Last Name:EVEC
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:PO BOX 812
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-0812
Mailing Address - Country:US
Mailing Address - Phone:704-821-3222
Mailing Address - Fax:704-821-3290
Practice Address - Street 1:100 PARK RD E
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-7622
Practice Address - Country:US
Practice Address - Phone:704-821-3222
Practice Address - Fax:704-821-3290
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2732111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0840QOtherBLUE CROSS BLUE SHIELD
NCP00101615OtherRAIL ROAD MEDICARE
NC2453939AMedicare ID - Type Unspecified
NCP00101615OtherRAIL ROAD MEDICARE