Evans, Martin T
Evans, Martin T is an individual health care provider with primary practice located at 1051 Johnston Willis Dr St 200, Richmond VA 23235. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Evans, Martin T can be contacted via phone (804) 320-2705.Contact Information
Primary practice address
1051 Johnston Willis Dr St 200
Richmond VA 23235
Phone: (804) 320-2705
Fax: (804) 330-2433
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101031974 | Virginia |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 0101031974 | Virginia |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 0101-031974 | Virginia |
Profile Details
NPI number | 1700863818 |
---|---|
LBN Legal business name | Evans, Martin T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2005 |
Last updated | Mar 10th, 2010 - about 15 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 | 1700863818 | NPPES |
Virginia | MEDICAID | 7308680 |
Popular Providers
-
Albuquerque, Francisco Cabral
1250 E Marshall St Surgery, Richmond VA 23298-5051 -
Newton, Daniel H
417 N 11Th St , Richmond VA 23298-5002 -
Mctamaney, James Paul
417 Libbie Ave , Richmond VA 23226-2615 -
Deitrick, John C
1051 Johnston Willis Dr Ste 200, Richmond VA 23235 -
Levy, Mark M
1250 E Marshall St Surgery/ Vascular, Richmond VA 23298-5051 -
Leake, Andrew Evans
417 Libbie Ave , Richmond VA 23226-2615 -
Pfeifer, John Sterling
1201 Broad Rock Blvd , Richmond VA 23249-0001 -
Gould, Charles Frost
7702 E Parham Rd Mob Iii Suite 102, Richmond VA 23294-4371