Evans, Jason Anthony
Evans, Jason Anthony is an individual health care provider with primary practice located at 224 W D. L. Ingram Avenue Bldg. 1408, Cannon Afb NM 88101. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Evans, Jason Anthony can be contacted via phone (310) 686-2656.Contact Information
Primary practice address
224 W D. L. Ingram Avenue Bldg. 1408
Cannon Afb NM 88101
Phone: (310) 686-2656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1033452206 |
|---|---|
| LBN Legal business name | Evans, Jason Anthony |
| Credentials | IDMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2013 |
| Last updated | Mar 22nd, 2024 - about 8 months 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.
Popular Providers
-
Deguzman, Francisco S
208 W Casablanca Ave Bldg 1400 27 Somdg - Osm, Cannon Afb NM 88103-5009 -
Schatz, Ray Leroy
511 N Torch Blvd , Cannon Afb NM 88103-5109 -
Anderson, Desiree
208 W Casablanca Ave , Cannon Afb NM 88103-5009 -
Ball, Brennon
224 W D. L. Ingram Avenue, Building 1408 , Cannon Afb NM 88103 -
Konieczynski, Brandi
104 W D. L. Ingram Ave , Cannon Afb NM 88101 -
Peterson, Maverick Lee
224 W D. L. Ingram Avenue, Bldg. 1408 , Cannon Afb NM 88103 -
Waldrip, Erik M
104 W D. L. Ingram Ave , Cannon Afb NM 88101 -
Jensen, Martin Oleen
119 E Arcadia Ave Bldg 622 27 Special Operations Support Sqdn/Osm, Cannon Afb NM 88103-5112