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
Fax: (501) 354-0553
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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