Provider Demographics
NPI:1609928175
Name:EVANS, DENISE GUYER (CHIROPRACTIC DC)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:GUYER
Last Name:EVANS
Suffix:
Gender:F
Credentials:CHIROPRACTIC DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 THIRD ST
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-1321
Mailing Address - Country:US
Mailing Address - Phone:609-298-4299
Mailing Address - Fax:609-298-9653
Practice Address - Street 1:1 THIRD ST
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-1321
Practice Address - Country:US
Practice Address - Phone:609-298-4299
Practice Address - Fax:609-298-9653
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00445700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6205500Medicaid
NJ573666P7AMedicare PIN
NJ6205500Medicaid