Black, Evan George
Black, Evan George is an sole proprietor health care provider with primary practice located at 5323 Woodrow St #201, Murray UT 84107-5841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Black, Evan George can be contacted via phone (801) 261-4711.Contact Information
Primary practice address
5323 Woodrow St #201
Murray UT 84107-5841
Phone: (801) 261-4711
Fax: (801) 261-4769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD476184 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 187597-1205 | Utah |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 21619 | New Hampshire |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 99622 | Montana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 89191 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD205738 | Oregon |
Profile Details
| NPI number | 1346260247 |
|---|---|
| LBN Legal business name | Black, Evan George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jan 3rd, 2023 - about 3 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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