Evans, Nathaniel Rutherford
Evans, Nathaniel Rutherford is an individual health care provider with primary practice located at 834 Walnut St Suite 650, Philadelphia PA 19107-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Evans, Nathaniel Rutherford can be contacted via phone (215) 955-6996.Contact Information
Primary practice address
834 Walnut St Suite 650
Philadelphia PA 19107-5109
Phone: (215) 955-6996
Fax: (215) 923-6003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 231078 | Massachusetts |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD438594 | Pennsylvania |
Profile Details
| NPI number | 1285780239 |
|---|---|
| LBN Legal business name | Evans, Nathaniel Rutherford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jun 12th, 2020 - about 5 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 | 1285780239 | NPPES |
| Pennsylvania | MEDICAID | 102426904 | |
| Pennsylvania | MEDICAID | 0222682 |
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