Evans, John Herbert
Evans, John Herbert is an individual health care provider with primary practice located at 508 Shattuck Rd , Saginaw MI 48604-2329. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Evans, John Herbert can be contacted via phone (989) 752-7867.Contact Information
Primary practice address
508 Shattuck Rd
Saginaw MI 48604-2329
Phone: (989) 752-7867
Fax: (989) 752-6830
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 5101008000 | Michigan |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 5101008000 | Michigan |
Profile Details
NPI number | 1154509172 |
---|---|
LBN Legal business name | Evans, John Herbert |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2008 |
Last updated | Feb 17th, 2012 - about 12 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 | 1154509172 | NPPES |
Michigan | Other | 5304000283 | DRUG TREATMENT PROGRAM PRESCRIBER |
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