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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285635318 NPPES
Indiana Other 000000259060 ANTHEM
Indiana MEDICAID 200324090A ANTHEM

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