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
Phone: (513) 298-7325
Fax: (513) 298-7406
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225077803 | NPPES |
| Kentucky | MEDICAID | 7100137860 | |
| Kentucky | MEDICAID | 201002000 | |
| Kentucky | MEDICAID | 2583548 |
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