Evans, Tyler Jonathan

Evans, Tyler Jonathan is an individual health care provider with primary practice located at 1805 27Th St , Portsmouth OH 45662-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Evans, Tyler Jonathan can be contacted via phone (740) 356-8117.

Contact Information

Primary practice address
1805 27Th St Portsmouth OH 45662-2640
Phone: (740) 356-8117
Fax: (740) 353-1214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 34.009731 Ohio

Profile Details

NPI number 1538494513
LBN Legal business name Evans, Tyler Jonathan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2009
Last updated Dec 21st, 2020 - about 4 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 1538494513 NPPES
Kentucky MEDICAID 7100347550
Kentucky MEDICAID 0106606

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