Evans, Thomas O

Evans, Thomas O is an individual health care provider with primary practice located at 21 Belmont Ave Suite 2, Brattleboro VT 05301-7110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Evans, Thomas O can be contacted via phone (802) 257-7792.

Contact Information

Primary practice address
21 Belmont Ave Suite 2 Brattleboro VT 05301-7110
Phone: (802) 257-7792
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Vermont

Profile Details

NPI number 1801893797
LBN Legal business name Evans, Thomas O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
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 1801893797 NPPES
Vermont MEDICAID 0000405

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