Evans, Larry
Evans, Larry is an individual health care provider with primary practice located at 621 W Madrone St 621 W Madrone Street, Roseburg OR 97470-3090. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Evans, Larry can be contacted via phone (541) 492-0241.Contact Information
Primary practice address
621 W Madrone St 621 W Madrone Street
Roseburg OR 97470-3090
Phone: (541) 492-0241
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1710421912 |
|---|---|
| LBN Legal business name | Evans, Larry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2016 |
| Last updated | Dec 7th, 2016 - about 10 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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