Evangelista, Allan

Evangelista, Allan is an individual health care provider with primary practice located at 110 New Stine Rd , Bakersfield CA 93309-2605. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Evangelista, Allan can be contacted via phone (661) 832-1667.

Contact Information

Primary practice address
110 New Stine Rd Bakersfield CA 93309-2605
Phone: (661) 832-1667
Fax: (661) 832-7145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E5423 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO4022 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.003534 Ohio
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC005582 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 10442 West Virginia

Profile Details

NPI number 1154480887
LBN Legal business name Evangelista, Allan
Credentials D.P.M., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154480887 NPPES
Ohio MEDICAID 2834099
Ohio Other 2018774
Ohio Other 1007775620010
Ohio Other 2022587
Ohio Other 412213
Ohio Other P00658026
Ohio MEDICAID 1020943590001
Ohio Other 812105

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