Evans, Joseph Cedric

Evans, Joseph Cedric is an individual health care provider with primary practice located at 19101 E Valley View Pkwy Suite B, Independence MO 64055-6904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Evans, Joseph Cedric can be contacted via phone (816) 254-9292.

Contact Information

Primary practice address
19101 E Valley View Pkwy Suite B Independence MO 64055-6904
Phone: (816) 254-9292
Fax: (816) 795-8996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD32823 Missouri

Profile Details

NPI number 1144206947
LBN Legal business name Evans, Joseph Cedric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated May 2nd, 2011 - about 14 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 1144206947 NPPES
Missouri Other 04537013 BLUE CROSS-BLUE SHIELD
Missouri MEDICAID 200010403 BLUE CROSS-BLUE SHIELD

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