Evans, Stephen

Evans, Stephen is an individual health care provider with primary practice located at 1431 Nursery St Ste 101 , Fogelsville PA 18051-1612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Evans, Stephen can be contacted via phone (610) 336-8277.

Contact Information

Primary practice address
1431 Nursery St Ste 101 Fogelsville PA 18051-1612
Phone: (610) 336-8277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OS012305 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS012305 Pennsylvania

Profile Details

NPI number 1083641260
LBN Legal business name Evans, Stephen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Dec 5th, 2022 - about 3 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 1083641260 NPPES
Pennsylvania MEDICAID 101872172

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