Evankow, Ethan

Evankow, Ethan is an individual health care provider with primary practice located at 791 Turner St Unit 2 , Auburn ME 04210-6314. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Evankow, Ethan can be contacted via phone (207) 330-3900.

Contact Information

Primary practice address
791 Turner St Unit 2 Auburn ME 04210-6314
Phone: (207) 330-3900
Fax: (207) 330-3940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055.0031348 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Vermont
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1241 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1241 Maine

Profile Details

NPI number 1528580966
LBN Legal business name Evankow, Ethan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2017
Last updated Dec 2nd, 2021 - about 5 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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