Evans, William Brent

Evans, William Brent is an sole proprietor health care provider with primary practice located at 1244 No Main St, Ste201 , Tooele TN 84074. He recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as his primary health care specialty. Evans, William Brent can be contacted via phone (435) 882-3968.

Contact Information

Primary practice address
1244 No Main St, Ste201 Tooele TN 84074
Fax: (435) 882-3859
Website:

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 274737-1205 Utah

Profile Details

NPI number 1811942964
LBN Legal business name Evans, William Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Mar 19th, 2020 - about 5 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 1811942964 NPPES
Utah MEDICAID 52898551002

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