Evans, William S

Evans, William S is an individual health care provider with primary practice located at 424 Yellowstone Ave Ste 2D, Cody WY 82414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Evans, William S can be contacted via phone (307) 578-2947.

Contact Information

Primary practice address
424 Yellowstone Ave Ste 2D Cody WY 82414
Phone: (307) 578-2947
Fax: (307) 578-2492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 27613020 Wisconsin
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X TL#1137 Wyoming

Profile Details

NPI number 1306819974
LBN Legal business name Evans, William S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jun 16th, 2009 - about 15 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 1306819974 NPPES
Wisconsin MEDICAID 31513900

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