Evans, Harvey J

Evans, Harvey J is an sole proprietor health care provider with primary practice located at 218 Timberlake Dr , Florence SC 29501-9311. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Evans, Harvey J can be contacted via phone (843) 319-2413.

Contact Information

Primary practice address
218 Timberlake Dr Florence SC 29501-9311
Fax: (843) 393-9914
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1578734919
LBN Legal business name Evans, Harvey J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2008
Last updated Jun 10th, 2024 - 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 1578734919 NPPES
South Carolina MEDICAID WP8949

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