Evans, Ellen R

Evans, Ellen R is an sole proprietor health care provider with primary practice located at 9662 N 29Th St , Omaha NE 68112-1524. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Evans, Ellen R can be contacted via phone (402) 510-9923.

Contact Information

Primary practice address
9662 N 29Th St Omaha NE 68112-1524
Phone: (402) 510-9923
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17202 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G5030 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14875 Oklahoma
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 17202 Nebraska
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X G5030 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 14875 Oklahoma

Profile Details

NPI number 1679696611
LBN Legal business name Evans, Ellen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 18 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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