Evans, Keith

Evans, Keith is an sole proprietor health care provider with primary practice located at 56 Chestnut Ln , Pine Grove PA 17963-8741. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Evans, Keith can be contacted via phone (570) 617-3514.

Contact Information

Primary practice address
56 Chestnut Ln Pine Grove PA 17963-8741
Phone: (570) 617-3514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1942549746
LBN Legal business name Evans, Keith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2013
Last updated Feb 14th, 2013 - 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.

Request for update

Popular Providers