Locke, Evan Robert
Locke, Evan Robert is an sole proprietor health care provider with primary practice located at 2050A 2Nd St Se , Kirtland Afb NM 87117-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Locke, Evan Robert can be contacted via phone (505) 846-3200.Contact Information
Primary practice address
2050A 2Nd St Se
Kirtland Afb NM 87117-1809
Phone: (505) 846-3200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35188 | Nebraska |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 35188 | Nebraska |
Profile Details
| NPI number | 1215522685 |
|---|---|
| LBN Legal business name | Locke, Evan Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2021 |
| Last updated | Jul 18th, 2024 - about 2 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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