Evans, James H

Evans, James H is an individual health care provider with primary practice located at 402 W Bijou St Suite C, Colorado Springs CO 80905-1309. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Evans, James H can be contacted via phone (719) 520-1102.

Contact Information

Primary practice address
402 W Bijou St Suite C Colorado Springs CO 80905-1309
Phone: (719) 520-1102
Fax: (719) 302-6686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 568 Colorado

Profile Details

NPI number 1780716407
LBN Legal business name Evans, James H
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Aug 7th, 2013 - about 11 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 1780716407 NPPES
Colorado MEDICAID 07104672

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