Evans, Donald L

Evans, Donald L is an individual health care provider with primary practice located at 530 S Jackson St # C07, Louisville KY 40202-1675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Evans, Donald L can be contacted via phone (502) 852-5875.

Contact Information

Primary practice address
530 S Jackson St # C07 Louisville KY 40202-1675
Phone: (502) 852-5875
Fax: (502) 852-1754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 14790 Kentucky

Profile Details

NPI number 1174521793
LBN Legal business name Evans, Donald L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174521793 NPPES
Kentucky MEDICAID 64052673
Kentucky Other 000000245967
Kentucky Other P00007346

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