Smith, Evan Gregory
Smith, Evan Gregory is an individual health care provider with primary practice located at 2200 Bergquist Dr , Lackland A F B TX 78236-9907. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Smith, Evan Gregory can be contacted via phone (210) 292-1990.Contact Information
Primary practice address
2200 Bergquist Dr
Lackland A F B TX 78236-9907
Phone: (210) 292-1990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1891090577 |
|---|---|
| LBN Legal business name | Smith, Evan Gregory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2011 |
| Last updated | Apr 8th, 2013 - about 13 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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