Provider Demographics
NPI:1437462702
Name:EVANS CHIROPRACTIC P.S.
Entity Type:Organization
Organization Name:EVANS CHIROPRACTIC P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-783-7242
Mailing Address - Street 1:2411 S UNION ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-2271
Mailing Address - Country:US
Mailing Address - Phone:509-783-7242
Mailing Address - Fax:509-783-7286
Practice Address - Street 1:2411 S UNION ST
Practice Address - Street 2:SUITE C
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338-2271
Practice Address - Country:US
Practice Address - Phone:509-783-7242
Practice Address - Fax:509-783-7286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60105606111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty