Evans, Dwayne Boyd
Evans, Dwayne Boyd is an sole proprietor health care provider with primary practice located at 934 S Main St , Nicholasville KY 40356. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Evans, Dwayne Boyd can be contacted via phone (859) 881-4325.Contact Information
Primary practice address
934 S Main St
Nicholasville KY 40356
Phone: (859) 881-4325
Fax: (859) 881-3897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4622 | Kentucky |
| Chiropractic Providers / Chiropractor | 111N00000X | 17124 | California |
Profile Details
| NPI number | 1699842625 |
|---|---|
| LBN Legal business name | Evans, Dwayne Boyd |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 7th, 2014 - about 12 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 | 1699842625 | NPPES |
| Kentucky | Other | 000000192741 | ANTHEM |
| Kentucky | MEDICAID | 85001782 | ANTHEM |
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