Evans, Dan H

Evans, Dan H is an individual health care provider with primary practice located at 1025 Maine St , Quincy IL 62301-4038. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Evans, Dan H can be contacted via phone (217) 222-6550.

Contact Information

Primary practice address
1025 Maine St Quincy IL 62301-4038
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036062519 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036062519 Illinois

Profile Details

NPI number 1730152273
LBN Legal business name Evans, Dan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Feb 22nd, 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 1730152273 NPPES
Illinois MEDICAID 036062519

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