Evans, Joseph Michael
Evans, Joseph Michael is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114-4108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Evans, Joseph Michael can be contacted via phone (402) 354-2360.Contact Information
Primary practice address
8303 Dodge St
Omaha NE 68114-4108
Phone: (402) 354-2360
Fax: (402) 354-2440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27937 | Nebraska |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 27937 | Nebraska |
Profile Details
| NPI number | 1023379120 |
|---|---|
| LBN Legal business name | Evans, Joseph Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2012 |
| Last updated | Aug 2nd, 2017 - about 9 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 | 1023379120 | NPPES |
| Iowa | MEDICAID | 1023379120 | |
| Iowa | MEDICAID | 470687317-16 |
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