Evenson, Troy Michael

Evenson, Troy Michael is an individual health care provider with primary practice located at 5601 96Th Ave N Ste 200 , Brooklyn Park MN 55443-4505. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Evenson, Troy Michael can be contacted via phone (763) 786-9543.

Contact Information

Primary practice address
5601 96Th Ave N Ste 200 Brooklyn Park MN 55443-4505
Phone: (763) 786-9543
Fax: (763) 786-3320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9710 Minnesota

Profile Details

NPI number 1609842632
LBN Legal business name Evenson, Troy Michael
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Nov 3rd, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609842632 NPPES
Minnesota MEDICAID 408377600

Popular Providers