Evans, Susan K

Evans, Susan K is an individual health care provider with primary practice located at Emile 42Nd St , Omaha NE 68198-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Evans, Susan K can be contacted via phone (402) 559-7200.

Contact Information

Primary practice address
Emile 42Nd St Omaha NE 68198-0001
Phone: (402) 559-7200
Fax: (402) 559-9344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49321 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25052 Nebraska

Profile Details

NPI number 1548459159
LBN Legal business name Evans, Susan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2007
Last updated Jul 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548459159 NPPES
Iowa MEDICAID 1548459159
Iowa MEDICAID 10025464000

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