Evanson, Jeffrey A.

Evanson, Jeffrey A. is an individual health care provider with primary practice located at 920 E 1St St Suite 201, Duluth MN 55805-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Evanson, Jeffrey A. can be contacted via phone (218) 249-7930.

Contact Information

Primary practice address
920 E 1St St Suite 201 Duluth MN 55805-2201
Phone: (218) 249-7930
Fax: (218) 249-7999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 38517 Minnesota

Profile Details

NPI number 1881646768
LBN Legal business name Evanson, Jeffrey A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 4th, 2020 - about 6 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 1881646768 NPPES
Minnesota MEDICAID 167714400

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