Evans, John Edward

Evans, John Edward is an individual health care provider with primary practice located at 901 Wallace Ave , Leitchfield KY 42754-1417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Evans, John Edward can be contacted via phone (270) 259-5641.

Contact Information

Primary practice address
901 Wallace Ave Leitchfield KY 42754-1417
Fax: (270) 259-5309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38545 Kentucky

Profile Details

NPI number 1952358889
LBN Legal business name Evans, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jan 30th, 2019 - about 7 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 1952358889 NPPES
Kentucky MEDICAID 64082829

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