Evans, Robert James

Evans, Robert James is an individual health care provider with primary practice located at 140 Charlois Blvd , Winston Salem NC 27103-1522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Evans, Robert James can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
140 Charlois Blvd Winston Salem NC 27103-1522
Fax: (336) 716-9042
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 38610 North Carolina

Profile Details

NPI number 1477549707
LBN Legal business name Evans, Robert James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 14th, 2010 - about 14 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 1477549707 NPPES
North Carolina MEDICAID 8930941
North Carolina Other 30941

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