Evans, Eric R

Evans, Eric R is an individual health care provider with primary practice located at 4189 Westlawn S , Iowa City IA 52242-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Evans, Eric R can be contacted via phone (319) 353-5959.

Contact Information

Primary practice address
4189 Westlawn S Iowa City IA 52242-1100
Phone: (319) 353-5959
Fax: (319) 335-7247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26811 Iowa

Profile Details

NPI number 1730175571
LBN Legal business name Evans, Eric R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Sep 28th, 2007 - about 19 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 1730175571 NPPES
Iowa Other 45368 WELLMARK BCBS
Iowa MEDICAID 2042697 WELLMARK BCBS
Iowa Other 46837 WELLMARK BCBS

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