Berlyn, Donald Evons

Berlyn, Donald Evons is an individual health care provider with primary practice located at 1200 W Route 66 , Flagstaff AZ 86001-6238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Berlyn, Donald Evons can be contacted via phone (928) 556-0776.

Contact Information

Primary practice address
1200 W Route 66 Flagstaff AZ 86001-6238
Phone: (928) 556-0776
Fax: (928) 213-5470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X AZPT1463 Arizona

Profile Details

NPI number 1124029541
LBN Legal business name Berlyn, Donald Evons
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 18 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 1124029541 NPPES
Arizona Other AZ0293060 BCBS
Arizona Other 19031463 BCBS

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