Evans, Jordan R

Evans, Jordan R is an individual health care provider with primary practice located at 101 Bodin Cir Bldg 777 , Travis Afb CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Evans, Jordan R can be contacted via phone (707) 816-5930.

Contact Information

Primary practice address
101 Bodin Cir Bldg 777 Travis Afb CA 94535-1809
Phone: (707) 816-5930
Fax: (707) 816-5665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP10066115 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101263338 Virginia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101263338 Virginia

Profile Details

NPI number 1700244639
LBN Legal business name Evans, Jordan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2016
Last updated Jul 27th, 2021 - about 4 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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