Wadsworth, Evan R
Wadsworth, Evan R is an sole proprietor health care provider with primary practice located at 1199 Hadley Rd , Mooresville IN 46158-1788. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wadsworth, Evan R can be contacted via phone (317) 831-2273.Contact Information
Primary practice address
1199 Hadley Rd
Mooresville IN 46158-1788
Phone: (317) 831-2273
Fax: (317) 831-9347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10002428A | Indiana |
Profile Details
| NPI number | 1023518347 |
|---|---|
| LBN Legal business name | Wadsworth, Evan R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2018 |
| Last updated | Sep 28th, 2023 - about 3 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 | 1023518347 | NPPES |
| Indiana | MEDICAID | 300012898 |
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