Evans, Jeffrey

Evans, Jeffrey is an sole proprietor health care provider with primary practice located at 330 Mount Auburn St Emergency Department, Cambridge MA 02138-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Evans, Jeffrey can be contacted via phone (617) 499-5617.

Contact Information

Primary practice address
330 Mount Auburn St Emergency Department Cambridge MA 02138-5502
Phone: (617) 499-5617
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 212480 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A91979 California

Profile Details

NPI number 1326032707
LBN Legal business name Evans, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Sep 15th, 2009 - about 15 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 1326032707 NPPES
Massachusetts MEDICAID 0166260

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