Evans, Doris A
Evans, Doris A is an individual health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Evans, Doris A can be contacted via phone (216) 778-7800.Contact Information
Primary practice address
2500 Metrohealth Dr
Cleveland OH 44109-1900
Phone: (216) 778-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 35030913 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35030913 | Ohio |
Profile Details
| NPI number | 1588769095 |
|---|---|
| LBN Legal business name | Evans, Doris A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Nov 13th, 2020 - about 6 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 | 1588769095 | NPPES |
| Ohio | MEDICAID | 0245372 |
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