Evanoff, Van

Evanoff, Van is an individual health care provider with primary practice located at 2204 N Section St Suite B, Sullivan IN 47882-0010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Evanoff, Van can be contacted via phone (812) 268-2556.

Contact Information

Primary practice address
2204 N Section St Suite B Sullivan IN 47882-0010
Phone: (812) 268-2556
Fax: (812) 268-2652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 01053652A Indiana

Profile Details

NPI number 1851394175
LBN Legal business name Evanoff, Van
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851394175 NPPES
Indiana Other 000000338733 BLUE CROSS & BLUE SHIELD
Indiana MEDICAID 200262220 BLUE CROSS & BLUE SHIELD
Indiana Other P01625340 BLUE CROSS & BLUE SHIELD

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