Short, Evan J

Short, Evan J is an individual health care provider with primary practice located at 760 Beloit Rd , Belvidere IL 61008-1745. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Short, Evan J can be contacted via phone (815) 547-5151.

Contact Information

Primary practice address
760 Beloit Rd Belvidere IL 61008-1745
Phone: (815) 547-5151
Fax: (815) 547-5336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DEN.00202905 Colorado
Dental Providers / General Practice 1223G0001X 7023 Arizona
Dental Providers / General Practice 1223G0001X DEN.00202905 Colorado
Dental Providers / Dentist 122300000X 019034032 Illinois

Profile Details

NPI number 1861558652
LBN Legal business name Short, Evan J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jan 10th, 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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