Evans, Johannes C

Evans, Johannes C is an individual health care provider with primary practice located at 601 Perimeter Dr Ste 200, Lexington KY 40517-4121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Evans, Johannes C can be contacted via phone (859) 278-9393.

Contact Information

Primary practice address
601 Perimeter Dr Ste 200 Lexington KY 40517-4121
Fax: (859) 278-0923
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 27235 Kentucky

Profile Details

NPI number 1780689588
LBN Legal business name Evans, Johannes C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated May 12th, 2021 - about 3 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 1780689588 NPPES
Kentucky MEDICAID 64272354

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