Evans, Jay Mark

Evans, Jay Mark is an individual health care provider with primary practice located at 8200 Meadowbridge Rd Suite 200, Mechanicsville VA 23116-2331. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Evans, Jay Mark can be contacted via phone (804) 730-2121.

Contact Information

Primary practice address
8200 Meadowbridge Rd Suite 200 Mechanicsville VA 23116-2331
Fax: (804) 730-0563
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101046958 Virginia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 0101046958 Virginia

Profile Details

NPI number 1932113826
LBN Legal business name Evans, Jay Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 19th, 2015 - about 9 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 1932113826 NPPES
Virginia MEDICAID 6408508

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