Evans, Barry J
Evans, Barry J is an individual health care provider with primary practice located at 3551 N Broad St , Philadelphia PA 19140-4160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Evans, Barry J can be contacted via phone (215) 430-4022.Contact Information
Primary practice address
3551 N Broad St
Philadelphia PA 19140-4160
Phone: (215) 430-4022
Fax: (215) 430-4079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD037391L | Pennsylvania |
Profile Details
| NPI number | 1386632297 |
|---|---|
| LBN Legal business name | Evans, Barry J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 21st, 2010 - about 16 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 | 1386632297 | NPPES |
| Pennsylvania | MEDICAID | 0019238260001 |
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