Evans, Robert D

Evans, Robert D is an sole proprietor health care provider with primary practice located at 1111 N Lee Ave Suite 236, Oklahoma City OK 73103-2620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Evans, Robert D can be contacted via phone (405) 524-4105.

Contact Information

Primary practice address
1111 N Lee Ave Suite 236 Oklahoma City OK 73103-2620
Fax: (405) 235-0738
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 17824 Oklahoma

Profile Details

NPI number 1841271749
LBN Legal business name Evans, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Feb 17th, 2010 - about 16 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 1841271749 NPPES
Oklahoma Other 050035141 RR MEDICARE
Oklahoma MEDICAID 100029470A RR MEDICARE

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