Evans, Jeffery David

Evans, Jeffery David is an individual health care provider with primary practice located at 3650 Lake Otis Pkwy Ste 201, Anchorage AK 99508-5218. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Evans, Jeffery David can be contacted via phone (907) 561-4280.

Contact Information

Primary practice address
3650 Lake Otis Pkwy Ste 201 Anchorage AK 99508-5218
Phone: (907) 561-4280
Fax: (907) 561-4282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1229 Alaska

Profile Details

NPI number 1356392393
LBN Legal business name Evans, Jeffery David
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated May 29th, 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 1356392393 NPPES
Alaska MEDICAID PT55672

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