EVANS CHIROPRACTIC LLC NPI 1093944985

NPI Information

NPI: 1093944985
Provider Name: EVANS CHIROPRACTIC LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3632 EVANS AVE
FORT MYERS, FL
ZIP 33901
Phone: (239) 275-7246
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EVANS CHIROPRACTIC LLC is a health service clinic center in Fort Myers, FL. EVANS CHIROPRACTIC LLC NPI is 1093944985. The provider is registered as an organization entity type.

The provider's business location address is:

3632 EVANS AVE
FORT MYERS, FL
ZIP 33901-314
Phone: (239) 275-7246

The provider's authorized official is Richard Blum .
The authorized official title is Owner and has the following contact phone number (954) 441-7100.

The enumeration date for this NPI number is 7/13/2009 and was last updated on 7/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	CH6210	FLORIDA	No
2	261QH0100X	Clinic/Center	Health Service	CH6210	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	380104700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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