Evans, Jeffery David
Evans, Jeffery David is an individual health care provider with primary practice located at 3650 Lake Otis Pkwy Ste 201, Anchorage AK 99508-5218. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Evans, Jeffery David can be contacted via phone (907) 561-4280.Contact Information
Primary practice address
3650 Lake Otis Pkwy Ste 201
Anchorage AK 99508-5218
Phone: (907) 561-4280
Fax: (907) 561-4282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1229 | Alaska |
Profile Details
| NPI number | 1356392393 |
|---|---|
| LBN Legal business name | Evans, Jeffery David |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | May 29th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356392393 | NPPES |
| Alaska | MEDICAID | PT55672 |
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