Evans, Andrew Bennett

Evans, Andrew Bennett is an individual health care provider with primary practice located at 190 Kimel Park Dr Ste 120 , Winston Salem NC 27103-6946. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Evans, Andrew Bennett can be contacted via phone (336) 765-5553.

Contact Information

Primary practice address
190 Kimel Park Dr Ste 120 Winston Salem NC 27103-6946
Fax: (336) 765-5359
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 2009-00162 North Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2009-00162 North Carolina

Profile Details

NPI number 1063692721
LBN Legal business name Evans, Andrew Bennett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2007
Last updated Oct 25th, 2020 - about 5 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 1063692721 NPPES
North Carolina MEDICAID 5916410

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