Evans, Ira K.

Evans, Ira K. is an individual health care provider with primary practice located at 1 Orthopedic Dr 2Nd Floor, Peabody MA 01960-1668. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Evans, Ira K. can be contacted via phone (978) 818-6350.

Contact Information

Primary practice address
1 Orthopedic Dr 2Nd Floor Peabody MA 01960-1668
Phone: (978) 818-6350
Fax: (978) 818-6355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 76107 Massachusetts
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 76107 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 76107 Massachusetts

Profile Details

NPI number 1821076522
LBN Legal business name Evans, Ira K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Nov 20th, 2009 - 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 1821076522 NPPES
Massachusetts MEDICAID 3096408
Massachusetts Other 76107
Massachusetts Other J12491

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