Evans, Jason Thomas

Evans, Jason Thomas is an individual health care provider with primary practice located at 732 S Washington Ave , Madison SD 57042-3519. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Neurology, Chiropractic Providers / Independent Medical Examiner. Chiropractic Providers / Neurology is his primary health care specialty. Evans, Jason Thomas can be contacted via phone (605) 256-0336.

Contact Information

Primary practice address
732 S Washington Ave Madison SD 57042-3519
Phone: (605) 256-0336
Fax: (605) 256-0760
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 868 South Dakota
Chiropractic Providers / Independent Medical Examiner 111NI0013X SD868 South Dakota

Profile Details

NPI number 1982691911
LBN Legal business name Evans, Jason Thomas
Credentials D.C., D.I.B.C.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 5th, 2010 - about 14 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 1982691911 NPPES
South Dakota MEDICAID 7604360
South Dakota Other 1619173523
South Dakota Other DQ2901
South Dakota Other 1982691911
South Dakota Other 350055130

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