Evans, Matthew Dylan

Evans, Matthew Dylan is an sole proprietor health care provider with primary practice located at 2600 W 16Th St , Yuma AZ 85364-4214. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Evans, Matthew Dylan can be contacted via phone (928) 329-2795.

Contact Information

Primary practice address
2600 W 16Th St Yuma AZ 85364-4214
Phone: (928) 329-2795
Fax: (928) 329-0337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11960 Arizona

Profile Details

NPI number 1548382286
LBN Legal business name Evans, Matthew Dylan
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 18 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 1548382286 NPPES
Arizona Other 11960 STATE LICENSE

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