Evans, John Edward
Evans, John Edward is an individual health care provider with primary practice located at 901 Wallace Ave , Leitchfield KY 42754-1417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Evans, John Edward can be contacted via phone (270) 259-5641.Contact Information
Primary practice address
901 Wallace Ave
Leitchfield KY 42754-1417
Phone: (270) 259-5641
Fax: (270) 259-5309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38545 | Kentucky |
Profile Details
| NPI number | 1952358889 |
|---|---|
| LBN Legal business name | Evans, John Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jan 30th, 2019 - about 7 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 | 1952358889 | NPPES |
| Kentucky | MEDICAID | 64082829 |
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