Evans, Roger Williams
Evans, Roger Williams is an individual health care provider with primary practice located at 9300 E 29Th St N Suite 310, Wichita KS 67226-2182. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Evans, Roger Williams can be contacted via phone (316) 858-9000.Contact Information
Primary practice address
9300 E 29Th St N Suite 310
Wichita KS 67226-2182
Phone: (316) 858-9000
Fax: (316) 858-9005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-13261 | Kansas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 04-13261 | Kansas |
Profile Details
| NPI number | 1033177977 |
|---|---|
| LBN Legal business name | Evans, Roger Williams |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Feb 10th, 2015 - about 10 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 | 1033177977 | NPPES |
| Kansas | MEDICAID | 100133670F | |
| Kansas | Other | 060036462 | |
| Kansas | MEDICAID | 100206090B |
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