Evans, Brandon
Evans, Brandon is an individual health care provider with primary practice located at 3336 N Futrall Dr , Fayetteville AR 72703-4057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Evans, Brandon can be contacted via phone (479) 463-3000.Contact Information
Primary practice address
3336 N Futrall Dr
Fayetteville AR 72703-4057
Phone: (479) 463-3000
Fax: (479) 463-3050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | E-8032 | Arkansas |
Profile Details
| NPI number | 1841491925 |
|---|---|
| LBN Legal business name | Evans, Brandon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Aug 21st, 2013 - about 12 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 | 1841491925 | NPPES |
| Arkansas | Other | 5UU55 | BLUE CROSS PROVIDER NUMBER |
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