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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1740387422 | NPPES |
| California | MEDICAID | B89020-01 |
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