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
Fax: (479) 463-3050
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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 1841491925 NPPES
Arkansas Other 5UU55 BLUE CROSS PROVIDER NUMBER

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