Evans, Brian D

Evans, Brian D is an individual health care provider with primary practice located at 155 Glasson Way , Grass Valley CA 95945-5723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Evans, Brian D can be contacted via phone (530) 274-6001.

Contact Information

Primary practice address
155 Glasson Way Grass Valley CA 95945-5723
Phone: (530) 274-6001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A67869 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A67869 California

Profile Details

NPI number 1841290798
LBN Legal business name Evans, Brian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Dec 15th, 2010 - about 14 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 1841290798 NPPES
California MEDICAID 00A678690

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