Evans, Calvin Caleb

Evans, Calvin Caleb is an individual health care provider with primary practice located at 902 Gallia St , Portsmouth OH 45662-4139. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Case Manager/Care Coordinator, Physician Assistants & Advanced Practice Nursing Providers / Family. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Evans, Calvin Caleb can be contacted via phone (740) 529-2125.

Contact Information

Primary practice address
902 Gallia St Portsmouth OH 45662-4139
Phone: (740) 529-2125
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.327283 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.15131-NP Ohio

Profile Details

NPI number 1992131445
LBN Legal business name Evans, Calvin Caleb
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Oct 8th, 2023 - about last year

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 1992131445 NPPES
Kentucky Other 7100317750 KENTUCKY MEDICAID
Kentucky MEDICAID 0096547 KENTUCKY MEDICAID

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