Jones, Evan C
Jones, Evan C is an individual health care provider with primary practice located at 1320 Stony Brook Rd Ste 200 , Stony Brook NY 11790-2215. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Jones, Evan C can be contacted via phone (631) 444-4272.Contact Information
Primary practice address
1320 Stony Brook Rd Ste 200
Stony Brook NY 11790-2215
Phone: (631) 444-4272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 235279 | New York |
Profile Details
| NPI number | 1104865831 |
|---|---|
| LBN Legal business name | Jones, Evan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jun 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104865831 | NPPES |
| New York | Other | 2K4781 | EMPIRE BC/BS |
| New York | Other | 7024594 | EMPIRE BC/BS |
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