Evangelista, David Roy M
Evangelista, David Roy M is an individual health care provider with primary practice located at 888 Swift Blvd. , Richland WA 99352. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Evangelista, David Roy M can be contacted via phone (509) 946-4611.Contact Information
Primary practice address
888 Swift Blvd.
Richland WA 99352
Phone: (509) 946-4611
Fax: (509) 942-3115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60105620 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD60105620 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60105620 | Washington |
Profile Details
| NPI number | 1689600165 |
|---|---|
| LBN Legal business name | Evangelista, David Roy M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | May 18th, 2021 - 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 | 1689600165 | NPPES |
| Washington | Other | 025904 | KRMC L&I GROUP NUMBER |
| Washington | MEDICAID | 1689600165 | KRMC L&I GROUP NUMBER |
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