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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1669432472 | NPPES |
| New Jersey | MEDICAID | 8353107 |
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