Carlyle, Brent Evans
Carlyle, Brent Evans is an individual health care provider with primary practice located at 357 Genesee St Ste 1 , Oneida NY 13421-2658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Carlyle, Brent Evans can be contacted via phone (315) 363-8862.Contact Information
Primary practice address
357 Genesee St Ste 1
Oneida NY 13421-2658
Phone: (315) 363-8862
Fax: (315) 363-3326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 288249 | New York |
Profile Details
| NPI number | 1982960969 |
|---|---|
| LBN Legal business name | Carlyle, Brent Evans |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2012 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982960969 | NPPES |
| New York | MEDICAID | 0122476 |
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