Provider Demographics
NPI:1396894580
Name:APPEL, EVAN HERBERT (DC)
Entity type:Individual
Prefix:DR
First Name:EVAN
Middle Name:HERBERT
Last Name:APPEL
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 1:6 EBBTIDE LANE
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746
Mailing Address - Country:US
Mailing Address - Phone:718-429-0155
Mailing Address - Fax:718-429-5507
Practice Address - Street 1:6 EBBTIDE LANE
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746
Practice Address - Country:US
Practice Address - Phone:631-643-6999
Practice Address - Fax:631-643-6999
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0078731111N00000X
AR1346111N00000X
NH7250604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX17051OtherEMPIRE BCBS
NY01601596Medicaid
NY5803605OtherGHI
NY01871Medicare ID - Type UnspecifiedGHI MEDICARE
NYX17051OtherEMPIRE BCBS
NY01601596Medicaid