Evans, Jonathan S.

Evans, Jonathan S. is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Evans, Jonathan S. can be contacted via phone (904) 697-3600.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Phone: (904) 697-3600
Fax: (904) 697-3927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME0051197 Florida

Profile Details

NPI number 1336150861
LBN Legal business name Evans, Jonathan S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated May 7th, 2013 - about 12 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 1336150861 NPPES
Florida MEDICAID 61882900
Florida MEDICAID 000446531A

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