MEDICARE: DR. EVAN KATZ DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5016	CO

General Provider Information

NPI Number	:	1649494600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVAN KATZ DC

Provider Business Mailing Address
First Line	:	954 NORTH STREET
Second Line	:	SECOND FLOOR
City	:	BOULDER
State	:	CO
Zip	:	80304-3419
Country	:	US
Telephone Number	:	303-938-9070
Fax Number	:	303-938-9170

Provider Business Practice Location Address
First Line	:	954 NORTH STREET
Second Line	:	SECOND FLOOR
City	:	BOULDER
State	:	CO
Zip	:	80304-3419
Country	:	US
Telephone Number	:	303-938-9070
Fax Number	:	303-938-9170

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	02/08/2011

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Directions to “ DR. EVAN KATZ DC” Practice Location

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