Evans, Adam David
Evans, Adam David is an sole proprietor health care provider with primary practice located at 1805 27Th St , Portsmouth OH 45662-2640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Evans, Adam David can be contacted via phone (740) 356-8117.Contact Information
Primary practice address
1805 27Th St
Portsmouth OH 45662-2640
Phone: (740) 356-8117
Fax: (740) 353-1214
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | DOC-033 | Guam |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 34.013120 | Ohio |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 34.013120 | Ohio |
Profile Details
NPI number | 1053748822 |
---|---|
LBN Legal business name | Evans, Adam David |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2013 |
Last updated | Nov 30th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053748822 | NPPES |
Kentucky | MEDICAID | 7100601530 | |
Kentucky | MEDICAID | 0344983 |
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