Evola, Christopher A

Evola, Christopher A is an sole proprietor health care provider with primary practice located at 3725 Route 145 , Durham NY 12422-5117. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Evola, Christopher A can be contacted via phone (518) 238-6486.

Contact Information

Primary practice address
3725 Route 145 Durham NY 12422-5117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3258 Maine
Dental Providers / General Practice 1223G0001X 041580 New York

Profile Details

NPI number 1245401728
LBN Legal business name Evola, Christopher A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2008
Last updated Mar 12th, 2008 - about 18 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 1245401728 NPPES
New York MEDICAID 02151251

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