Evanoff, George V

Evanoff, George V is an individual health care provider with primary practice located at 2771 Hemlock St Suite 201, Bremerton WA 98310-2689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Evanoff, George V can be contacted via phone (360) 377-7634.

Contact Information

Primary practice address
2771 Hemlock St Suite 201 Bremerton WA 98310-2689
Phone: (360) 377-7634
Fax: (360) 479-6157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD00031897 Washington

Profile Details

NPI number 1043206972
LBN Legal business name Evanoff, George V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 31st, 2011 - about 14 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 1043206972 NPPES
Washington MEDICAID 1088566
Washington Other 1043206972

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