DR. EVAN GOLD D.C. NPI 1538149133

NPI Information

NPI: 1538149133
Provider Name: DR. EVAN GOLD, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
281 HARTFORD TPKE
STE G2
VERNON, CT
ZIP 06066
Phone: (860) 643-1668
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DR. Evan Gold, D.C. is a chiropractor in Vernon, CT with 40 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Evan Gold, D.C. NPI is 1538149133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:1984

The provider's business location address is:

281 HARTFORD TPKE
STE G2
VERNON, CT
ZIP 06066-761
Phone: (860) 643-1668

The enumeration date for this NPI number is 1/19/2006 and was last updated on 8/29/2016.

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	111N00000X	Chiropractor		000474	CONNECTICUT	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	061130742-001	OTHER	CONNECTICUT	CIGNA
2	050000474CT01	OTHER	CONNECTICUT	ANTHEM BLUE CROSS
3	42157	OTHER	CONNECTICUT	AETNA
4	TOS020	OTHER	CONNECTICUT	OXFORD
5	CT00474	OTHER	DELAWARE	LANDMARK
6	350000332	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	MEDICARE
7	T22792	MEDICARE UPIN	CONNECTICUT
8	0530770	OTHER	CONNECTICUT	AETNA US HEALTH CARE
9	4404149	OTHER	CONNECTICUT	UNITED HEALTH CARE

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: 4/28/2024

NPI Synchronization or Removal

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