Evangelisti, Paul Andrew

Evangelisti, Paul Andrew is an individual health care provider with primary practice located at 100 N Sumter St Suite 400, Sumter SC 29150-4916. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Evangelisti, Paul Andrew can be contacted via phone (803) 778-5970.

Contact Information

Primary practice address
100 N Sumter St Suite 400 Sumter SC 29150-4916
Fax: (803) 778-5403
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 22833 South Carolina
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 22833 South Carolina
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 22833 South Carolina

Profile Details

NPI number 1982625745
LBN Legal business name Evangelisti, Paul Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
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 1982625745 NPPES
South Carolina MEDICAID GP2894

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