Evans, Charles

Evans, Charles is an individual health care provider with primary practice located at 755 Memorial Pkwy Suite 115, Phillipsburg NJ 08865-2748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Evans, Charles can be contacted via phone (908) 454-3737.

Contact Information

Primary practice address
755 Memorial Pkwy Suite 115 Phillipsburg NJ 08865-2748
Phone: (908) 454-3737
Fax: (908) 454-0402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA69049 New Jersey

Profile Details

NPI number 1669432472
LBN Legal business name Evans, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 20th, 2007 - about 19 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 1669432472 NPPES
New Jersey MEDICAID 8353107

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