Evans, Joseph Mark

Evans, Joseph Mark is an individual health care provider with primary practice located at 11311 Bridgeport Way Sw Ste 205 , Lakewood WA 98499-3051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Evans, Joseph Mark can be contacted via phone (253) 985-2733.

Contact Information

Primary practice address
11311 Bridgeport Way Sw Ste 205 Lakewood WA 98499-3051
Phone: (253) 985-2733
Fax: (253) 984-2049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD60653027 Washington
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD20110 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X MD20110 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60653027 Washington

Profile Details

NPI number 1063527471
LBN Legal business name Evans, Joseph Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Dec 3rd, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063527471 NPPES
Washington MEDICAID 2002482

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