Gold, Evan

Gold, Evan is an individual health care provider with primary practice located at 281 Hartford Tpke Ste G2, Vernon CT 06066-4761. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gold, Evan can be contacted via phone (860) 643-1668.

Contact Information

Primary practice address
281 Hartford Tpke Ste G2 Vernon CT 06066-4761
Phone: (860) 643-1668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 000474 Connecticut

Profile Details

NPI number 1538149133
LBN Legal business name Gold, Evan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Aug 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538149133 NPPES
Connecticut Other TOS020 OXFORD
Connecticut Other 061130742-001 OXFORD
Connecticut Other CT00474 OXFORD
Connecticut Other 42157 OXFORD
Connecticut Other 0530770 OXFORD
Connecticut Other 4404149 OXFORD
Connecticut Other 050000474CT01 OXFORD

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