Evans, Jason Andrew

Evans, Jason Andrew is an individual health care provider with primary practice located at 1647 Woodbrooke Dr , Salisbury MD 21804-8502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Evans, Jason Andrew can be contacted via phone (410) 546-2424.

Contact Information

Primary practice address
1647 Woodbrooke Dr Salisbury MD 21804-8502
Phone: (410) 546-2424
Fax: (410) 742-6633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0058997 Maryland

Profile Details

NPI number 1487637385
LBN Legal business name Evans, Jason Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 17th, 2018 - about 7 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 1487637385 NPPES
Maryland MEDICAID 119591300

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