Evans, Robert M

Evans, Robert M is an sole proprietor health care provider with primary practice located at 971 Lakeland Dr Suite 450, Jackson MS 39216-4643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Evans, Robert M can be contacted via phone (601) 948-5158.

Contact Information

Primary practice address
971 Lakeland Dr Suite 450 Jackson MS 39216-4643
Phone: (601) 948-5158
Fax: (601) 949-6058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 08333 Mississippi

Profile Details

NPI number 1255349502
LBN Legal business name Evans, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Nov 24th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255349502 NPPES
Mississippi MEDICAID 00013859

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