Dysarz, Evelyn Antoinette
Dysarz, Evelyn Antoinette is an sole proprietor health care provider with primary practice located at 7117 N Olney St , Indianapolis IN 46240-3530. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dysarz, Evelyn Antoinette can be contacted via phone (317) 841-8664.Contact Information
Primary practice address
7117 N Olney St
Indianapolis IN 46240-3530
Phone: (317) 841-8664
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08001032 | Indiana |
Profile Details
| NPI number | 1285635318 |
|---|---|
| LBN Legal business name | Dysarz, Evelyn Antoinette |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Feb 24th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285635318 | NPPES |
| Indiana | Other | 000000259060 | ANTHEM |
| Indiana | MEDICAID | 200324090A | ANTHEM |
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