Evans, Douglas B.

Evans, Douglas B. is an individual health care provider with primary practice located at 9200 W Wisconsin Avenue Surgical Oncology, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Evans, Douglas B. can be contacted via phone (414) 805-5020.

Contact Information

Primary practice address
9200 W Wisconsin Avenue Surgical Oncology Milwaukee WI 53226-3522
Phone: (414) 805-5020
Fax: (414) 805-5771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X H5546 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 52498 Wisconsin

Profile Details

NPI number 1295820116
LBN Legal business name Evans, Douglas B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Nov 22nd, 2019 - about 5 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 1295820116 NPPES
Texas MEDICAID 36457201
Texas MEDICAID 1295820116

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