Evans, Stephen Douglas
Evans, Stephen Douglas is an sole proprietor health care provider with primary practice located at 1112 N Main St , Roswell NM 88201-5010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Evans, Stephen Douglas can be contacted via phone (575) 627-4200.Contact Information
Primary practice address
1112 N Main St
Roswell NM 88201-5010
Phone: (575) 627-4200
Fax: (575) 627-4212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 86-226 | New Mexico |
Profile Details
| NPI number | 1952350050 |
|---|---|
| LBN Legal business name | Evans, Stephen Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Feb 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952350050 | NPPES |
| New Mexico | MEDICAID | 00039479 |
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