Evans, Thomas Dale

Evans, Thomas Dale is an sole proprietor health care provider with primary practice located at 244 Jackson Meadows Dr , Hermitage TN 37076-1425. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Evans, Thomas Dale can be contacted via phone (615) 874-9888.

Contact Information

Primary practice address
244 Jackson Meadows Dr Hermitage TN 37076-1425
Phone: (615) 874-9888
Fax: (615) 883-6899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0000010866 Tennessee

Profile Details

NPI number 1679581482
LBN Legal business name Evans, Thomas Dale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Oct 17th, 2018 - about 8 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 1679581482 NPPES
Alabama Other P00039795 RAILROAD MEDICARE
Alabama Other 51512447 RAILROAD MEDICARE
Alabama MEDICAID 000092766 RAILROAD MEDICARE

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