Evans, John C

Evans, John C is an individual health care provider with primary practice located at 1520 Martin St , State College PA 16803-3058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Evans, John C can be contacted via phone (814) 231-1220.

Contact Information

Primary practice address
1520 Martin St State College PA 16803-3058
Fax: (814) 231-1222
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X KO000011L Pennsylvania

Profile Details

NPI number 1891711834
LBN Legal business name Evans, John C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 14th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891711834 NPPES
Pennsylvania MEDICAID 0009466710001

Popular Providers