Evans, Bruce W
Evans, Bruce W is an individual health care provider with primary practice located at 4550 Investment Dr Ste 100, Troy MI 48098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Evans, Bruce W can be contacted via phone (248) 265-4611.Contact Information
Primary practice address
4550 Investment Dr Ste 100
Troy MI 48098
Phone: (248) 265-4611
Fax: (248) 265-4645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301041955 | Michigan |
Profile Details
| NPI number | 1972526879 |
|---|---|
| LBN Legal business name | Evans, Bruce W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Feb 4th, 2016 - about 9 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 | 1972526879 | NPPES |
| Michigan | MEDICAID | 1763068-10 |
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