Evans, Jason Thomas
Evans, Jason Thomas is an individual health care provider with primary practice located at 732 S Washington Ave , Madison SD 57042-3519. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Neurology, Chiropractic Providers / Independent Medical Examiner. Chiropractic Providers / Neurology is his primary health care specialty. Evans, Jason Thomas can be contacted via phone (605) 256-0336.Contact Information
Primary practice address
732 S Washington Ave
Madison SD 57042-3519
Phone: (605) 256-0336
Fax: (605) 256-0760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | 868 | South Dakota |
| Chiropractic Providers / Independent Medical Examiner | 111NI0013X | SD868 | South Dakota |
Profile Details
| NPI number | 1982691911 |
|---|---|
| LBN Legal business name | Evans, Jason Thomas |
| Credentials | D.C., D.I.B.C.N. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Oct 5th, 2010 - about 16 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 | 1982691911 | NPPES |
| South Dakota | MEDICAID | 7604360 | |
| South Dakota | Other | 1619173523 | |
| South Dakota | Other | DQ2901 | |
| South Dakota | Other | 1982691911 | |
| South Dakota | Other | 350055130 |
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