Evans, Brad A

Evans, Brad A is an individual health care provider with primary practice located at 7700 University Dr , West Chester OH 45069-2505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Evans, Brad A can be contacted via phone (513) 298-7325.

Contact Information

Primary practice address
7700 University Dr West Chester OH 45069-2505
Fax: (513) 298-7406
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34008200 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 34008200 Ohio

Profile Details

NPI number 1225077803
LBN Legal business name Evans, Brad A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 11th, 2020 - about 4 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 1225077803 NPPES
Kentucky MEDICAID 7100137860
Kentucky MEDICAID 201002000
Kentucky MEDICAID 2583548

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