Evans, William Walker

Evans, William Walker is an sole proprietor health care provider with primary practice located at 2710 Eureka Way Suite 3, Redding CA 96001-0230. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Evans, William Walker can be contacted via phone (530) 241-6374.

Contact Information

Primary practice address
2710 Eureka Way Suite 3 Redding CA 96001-0230
Phone: (530) 241-6374
Fax: (530) 241-5140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X A 55473 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 17716 Massachusetts
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X OMS 20 California

Profile Details

NPI number 1740387422
LBN Legal business name Evans, William Walker
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740387422 NPPES
California MEDICAID B89020-01

Popular Providers