Evans, Angela K
Evans, Angela K is an sole proprietor health care provider with primary practice located at 1205 Highway 2 Ste 101 , Sandpoint ID 83864-2740. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Evans, Angela K can be contacted via phone (208) 265-0743.Contact Information
Primary practice address
1205 Highway 2 Ste 101
Sandpoint ID 83864-2740
Phone: (208) 265-0743
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1038 | Idaho |
Profile Details
| NPI number | 1346352515 |
|---|---|
| LBN Legal business name | Evans, Angela K |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 6th, 2019 - about 7 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 | 1346352515 | NPPES |
| Idaho | Other | 000010144223 | BLUE SHIELD |
| Idaho | Other | 870395551 | BLUE SHIELD |
| Idaho | Other | C3639 | BLUE SHIELD |
| Idaho | Other | 5485361 | BLUE SHIELD |
| Idaho | MEDICAID | 806677900 | BLUE SHIELD |
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