Evans, Timothy C
Evans, Timothy C is an sole proprietor health care provider with primary practice located at 12728 Augusta Ave Ste 150, Omaha NE 68144-3750. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Evans, Timothy C can be contacted via phone (402) 330-1537.Contact Information
Primary practice address
12728 Augusta Ave Ste 150
Omaha NE 68144-3750
Phone: (402) 330-1537
Fax: (402) 330-9331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 77 | Nebraska |
Profile Details
| NPI number | 1225093800 |
|---|---|
| LBN Legal business name | Evans, Timothy C |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Oct 3rd, 2007 - about 17 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 | 1225093800 | NPPES |
| Nebraska | MEDICAID | 47078906000 |
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