Evans, Samuel J
Evans, Samuel J is an individual health care provider with primary practice located at 2230 Liliha St Critical Care Dept., Honolulu HI 96817-1646. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Evans, Samuel J can be contacted via phone (808) 342-6222.Contact Information
Primary practice address
2230 Liliha St Critical Care Dept.
Honolulu HI 96817-1646
Phone: (808) 342-6222
Fax: (808) 949-0483
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD10768 | Hawaii |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD10768 | Hawaii |
Profile Details
NPI number | 1992744452 |
---|---|
LBN Legal business name | Evans, Samuel J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Feb 26th, 2016 - about 9 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 | 1992744452 | NPPES |
Hawaii | MEDICAID | 50506805 | |
Hawaii | MEDICAID | 50506807 | |
Hawaii | MEDICAID | 50506806 |
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