Evans, Thomas J

Evans, Thomas J is an individual health care provider with primary practice located at 1193 Beach 9Th Street , Far Rockaway NY 11691. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Evans, Thomas J can be contacted via phone (718) 327-7078.

Contact Information

Primary practice address
1193 Beach 9Th Street Far Rockaway NY 11691
Phone: (718) 327-7078
Fax: (718) 471-3774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2526391 New York

Profile Details

NPI number 1235289216
LBN Legal business name Evans, Thomas J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 19 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 1235289216 NPPES
New York Other R0A07 BCBS

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