Evans, Bussie Anthony

Evans, Bussie Anthony is an individual health care provider with primary practice located at 625 W Baldwin Rd Ste C , Panama City FL 32405-3359. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Evans, Bussie Anthony can be contacted via phone (850) 769-0329.

Contact Information

Primary practice address
625 W Baldwin Rd Ste C Panama City FL 32405-3359
Phone: (850) 769-0329
Fax: (844) 212-7396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0056215 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0056215 Florida

Profile Details

NPI number 1407875073
LBN Legal business name Evans, Bussie Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Feb 18th, 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 1407875073 NPPES
Florida MEDICAID 044549500

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