Evans, Clifford L
Evans, Clifford L is an sole proprietor health care provider with primary practice located at 912 E Drilling St , Morrilton AR 72110-2218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Evans, Clifford L can be contacted via phone (501) 354-9746.Contact Information
Primary practice address
912 E Drilling St
Morrilton AR 72110-2218
Phone: (501) 354-9746
Fax: (501) 354-0553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C3306 | Arkansas |
Profile Details
| NPI number | 1063406056 |
|---|---|
| LBN Legal business name | Evans, Clifford L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jul 17th, 2009 - about 13 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 | 1063406056 | NPPES |
| Arkansas | MEDICAID | 121959001 | |
| Arkansas | Other | 020548706 | |
| Arkansas | Other | 080191177 | |
| Arkansas | Other | A37553 | |
| Arkansas | Other | 020548706 | |
| Arkansas | Other | 0100555 | |
| Arkansas | Other | 4099493 | |
| Arkansas | Other | 51594 | |
| Arkansas | Other | 02120016500 | |
| Arkansas | Other | 020548706 | |
| Arkansas | Other | 020548706 |
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