Evans, Matthew William

Evans, Matthew William is an individual health care provider with primary practice located at 1025 S 6Th St , Springfield IL 62703-2499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Evans, Matthew William can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
1025 S 6Th St Springfield IL 62703-2499
Phone: (217) 528-7541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 74962 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036159807 Illinois

Profile Details

NPI number 1659756716
LBN Legal business name Evans, Matthew William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2015
Last updated Aug 22nd, 2022 - about 4 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 1659756716 NPPES
Wisconsin MEDICAID 1659756716

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