Black, Evan George

Black, Evan George is an sole proprietor health care provider with primary practice located at 5323 Woodrow St #201, Murray UT 84107-5841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Black, Evan George can be contacted via phone (801) 261-4711.

Contact Information

Primary practice address
5323 Woodrow St #201 Murray UT 84107-5841
Fax: (801) 261-4769
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD476184 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 187597-1205 Utah
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 21619 New Hampshire
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 99622 Montana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 89191 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD205738 Oregon

Profile Details

NPI number 1346260247
LBN Legal business name Black, Evan George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Jan 3rd, 2023 - about last year

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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