Cumpston, Evan Charles
Cumpston, Evan Charles is an sole proprietor health care provider with primary practice located at 355 W 16Th St Ste 3000 , Indianapolis IN 46202-2207. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otology & Neurotology is his primary health care specialty. Cumpston, Evan Charles can be contacted via phone (317) 963-7082.Contact Information
Primary practice address
355 W 16Th St Ste 3000
Indianapolis IN 46202-2207
Phone: (317) 963-7082
Fax: (317) 963-7085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01087739A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 01087739A | Indiana |
Profile Details
| NPI number | 1376905877 |
|---|---|
| LBN Legal business name | Cumpston, Evan Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2016 |
| Last updated | Apr 11th, 2025 - about last year |
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 | 1376905877 | NPPES |
| Indiana | MEDICAID | 300062370 | |
| Indiana | Other | 000001667242 |
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