Provider Demographics
NPI:1780713263
Name:CHRISTMAN, EVAN ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:EVAN
Middle Name:ROBERT
Last Name:CHRISTMAN
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 1:116 N BOND ST
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3533
Mailing Address - Country:US
Mailing Address - Phone:410-734-4060
Mailing Address - Fax:443-601-2677
Practice Address - Street 1:116 N BOND ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3533
Practice Address - Country:US
Practice Address - Phone:410-734-4060
Practice Address - Fax:443-601-2677
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01817111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD350045147OtherMEDICARE RAILROAD
MD54768701OtherBCBS
MD14631OtherJOHNS HOPKINS
MD2102281OtherMAMSI
MD494841OtherPHCS
MDT229OtherBCBS FEDERAL
MD0985392OtherCIGNA
MD660L783CMedicare PIN
MD54768701OtherBCBS