Evans, Stephen
Evans, Stephen is an individual health care provider with primary practice located at 1431 Nursery St Ste 101 , Fogelsville PA 18051-1612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Evans, Stephen can be contacted via phone (610) 336-8277.Contact Information
Primary practice address
1431 Nursery St Ste 101
Fogelsville PA 18051-1612
Phone: (610) 336-8277
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | OS012305 | Pennsylvania |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS012305 | Pennsylvania |
Profile Details
NPI number | 1083641260 |
---|---|
LBN Legal business name | Evans, Stephen |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2006 |
Last updated | Dec 5th, 2022 - about 2 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 | 1083641260 | NPPES |
Pennsylvania | MEDICAID | 101872172 |
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