Evans, Jonathon J
Evans, Jonathon J is an individual health care provider with primary practice located at 8414 Naab Rd , Indianapolis IN 46260-1972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Evans, Jonathon J can be contacted via phone (317) 338-7510.Contact Information
Primary practice address
8414 Naab Rd
Indianapolis IN 46260-1972
Phone: (317) 338-7510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01033482A | Indiana |
Profile Details
| NPI number | 1750325700 |
|---|---|
| LBN Legal business name | Evans, Jonathon J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Feb 23rd, 2018 - about 6 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 | 1750325700 | NPPES |
| Indiana | MEDICAID | 100330630 |
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