Evans, Gary D

Evans, Gary D is an individual health care provider with primary practice located at 1201 11Th Ave S , Birmingham AL 35205-3423. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Evans, Gary D can be contacted via phone (205) 930-7296.

Contact Information

Primary practice address
1201 11Th Ave S Birmingham AL 35205-3423
Fax: (205) 930-7256
Website:

Health care specialties

Profile Details

NPI number 1326043944
LBN Legal business name Evans, Gary D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 2nd, 2010 - about 15 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 1326043944 NPPES
Alabama Other 51003654 BC BS OF AL #
Alabama Other 1326043944 BC BS OF AL #
Alabama Other P00348467 BC BS OF AL #
Alabama MEDICAID 051557618 BC BS OF AL #

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