Evans, Clinton
Evans, Clinton is an individual health care provider with primary practice located at 9601 Interstate 630 Exit 7 , Little Rock AR 72205-7202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Evans, Clinton can be contacted via phone (501) 202-0000.Contact Information
Primary practice address
9601 Interstate 630 Exit 7
Little Rock AR 72205-7202
Phone: (501) 202-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | E3894 | Arkansas |
Profile Details
| NPI number | 1740375641 |
|---|---|
| LBN Legal business name | Evans, Clinton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | May 19th, 2008 - 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 | 1740375641 | NPPES |
| Arkansas | MEDICAID | 152141001 |
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