Evans, John Joseph
Evans, John Joseph is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Pathology is his primary health care specialty. Evans, John Joseph can be contacted via phone (701) 234-2000.Contact Information
Primary practice address
801 Broadway N
Fargo ND 58102-3641
Phone: (701) 234-2000
Fax: (701) 234-2345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 10212229-1205 | Utah |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 70789 | Wisconsin |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 6857 | Nebraska |
Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | 17572 | North Dakota |
Profile Details
NPI number | 1093079709 |
---|---|
LBN Legal business name | Evans, John Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2012 |
Last updated | Apr 18th, 2022 - about 2 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 | 1093079709 | NPPES |
Wisconsin | MEDICAID | 1093079709 |
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