Bevan, Nathan
Bevan, Nathan is an individual health care provider with primary practice located at 13020 N Telecom Pkwy , Temple Terrace FL 33637-0925. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bevan, Nathan can be contacted via phone (813) 978-9700.Contact Information
Primary practice address
13020 N Telecom Pkwy
Temple Terrace FL 33637-0925
Phone: (813) 978-9700
Fax: (813) 558-6186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9107351 | Florida |
Profile Details
| NPI number | 1023441763 |
|---|---|
| LBN Legal business name | Bevan, Nathan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2013 |
| Last updated | Sep 21st, 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 | 1023441763 | NPPES |
| Florida | MEDICAID | 009415900 |
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