Evans, Nathaniel D.
Evans, Nathaniel D. is an sole proprietor health care provider with primary practice located at 5750 E. Highway 90 Suite 300A, Sierra Vista AZ 85635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Evans, Nathaniel D. can be contacted via phone (520) 458-8075.Contact Information
Primary practice address
5750 E. Highway 90 Suite 300A
Sierra Vista AZ 85635
Phone: (520) 458-8075
Fax: (520) 458-0339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 6079 | Arizona |
Profile Details
| NPI number | 1104054378 |
|---|---|
| LBN Legal business name | Evans, Nathaniel D. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2009 |
| Last updated | Aug 14th, 2015 - about 11 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 | 1104054378 | NPPES |
| Arizona | MEDICAID | 808956 |
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