Evans, Thomas A

Evans, Thomas A is an individual health care provider with primary practice located at 108 S Frontage Rd W Ste 300 , Vail CO 81657-5087. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Evans, Thomas A can be contacted via phone (970) 476-1100.

Contact Information

Primary practice address
108 S Frontage Rd W Ste 300 Vail CO 81657-5087
Phone: (970) 476-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 42833 Colorado
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 42833 Colorado

Profile Details

NPI number 1083643654
LBN Legal business name Evans, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083643654 NPPES
Colorado MEDICAID 73031577
Colorado Other 023856

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