Evans, Robert Frederick

Evans, Robert Frederick is an individual health care provider with primary practice located at 2809 Denny Ave , Pascagoula MS 39581. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Evans, Robert Frederick can be contacted via phone (228) 809-5000.

Contact Information

Primary practice address
2809 Denny Ave Pascagoula MS 39581
Phone: (228) 809-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 22770 Mississippi
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25494 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DO-93 Alabama

Profile Details

NPI number 1497067326
LBN Legal business name Evans, Robert Frederick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2010
Last updated Jan 30th, 2019 - about 6 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 1497067326 NPPES
Mississippi MEDICAID 09014864

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