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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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