Evans, Steven Ray
Evans, Steven Ray is an individual health care provider with primary practice located at 2617 Sheffield Drive , Blacksburg VA 24060. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Evans, Steven Ray can be contacted via phone (540) 953-2210.Contact Information
Primary practice address
2617 Sheffield Drive
Blacksburg VA 24060
Phone: (540) 953-2210
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110002641 | Virginia |
Profile Details
NPI number | 1417064718 |
---|---|
LBN Legal business name | Evans, Steven Ray |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2006 |
Last updated | Mar 17th, 2023 - 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 | 1417064718 | NPPES |
Virginia | MEDICAID | 1417064718 | |
Virginia | Other | P00455781 | |
Virginia | Other | 1072845 |
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