Evans, Roy Clark
Evans, Roy Clark is an individual health care provider with primary practice located at 1217 4Th Ave E Suite 200, Olympia WA 98506-4246. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Evans, Roy Clark can be contacted via phone (360) 570-8151.Contact Information
Primary practice address
1217 4Th Ave E Suite 200
Olympia WA 98506-4246
Phone: (360) 570-8151
Fax: (360) 943-6602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH2803 | Washington |
Profile Details
| NPI number | 1609911304 |
|---|---|
| LBN Legal business name | Evans, Roy Clark |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jun 29th, 2016 - about 10 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 | 1609911304 | NPPES |
| Washington | Other | 2579480 | AETNA |
| Washington | Other | 0292244 | AETNA |
| Washington | Other | EV5391 | AETNA |
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