Evans, Jason

Evans, Jason is an individual health care provider with primary practice located at 1601 Brigham Dr Suite 250, Perrysburg OH 43551-7114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Evans, Jason can be contacted via phone (419) 872-7745.

Contact Information

Primary practice address
1601 Brigham Dr Suite 250 Perrysburg OH 43551-7114
Phone: (419) 872-7745
Fax: (419) 874-7758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35045518 Ohio

Profile Details

NPI number 1205838802
LBN Legal business name Evans, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Nov 3rd, 2023 - 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 1205838802 NPPES
Ohio Other 000000141276 ANTHEM
Ohio MEDICAID 2176710 ANTHEM
Ohio Other 01-05155 ANTHEM
Ohio Other 03817 ANTHEM
Ohio Other 080160101 ANTHEM
Ohio Other 2464534 ANTHEM

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