Evans, James

Evans, James is an individual health care provider with primary practice located at 711 Maiden Choice Ln , Baltimore MD 21228-3632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Evans, James can be contacted via phone (410) 247-5602.

Contact Information

Primary practice address
711 Maiden Choice Ln Baltimore MD 21228-3632
Phone: (410) 247-5602
Fax: (410) 242-1756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0020040 Maryland
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X D0020040 Maryland

Profile Details

NPI number 1568438208
LBN Legal business name Evans, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Dec 5th, 2014 - about 12 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 1568438208 NPPES
Other 0100726 EVERCARE
Other KGO1ER-413302-02 EVERCARE
MEDICAID 318531100 EVERCARE
Other T016-0020 EVERCARE
Other 0943ER-413302-03 EVERCARE
Other 41330202 EVERCARE
MEDICAID 008203100 EVERCARE

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