Mcevoy, Michael

Mcevoy, Michael is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mcevoy, Michael can be contacted via phone (417) 829-4246.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 829-4246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01816 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-01816 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2018034963 Missouri

Profile Details

NPI number 1063880995
LBN Legal business name Mcevoy, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Oct 9th, 2018 - about 8 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 1063880995 NPPES
Kansas Other 068002353 MEDICARE PTAN
Kansas MEDICAID 201126740A MEDICARE PTAN

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