Evanson, James A

Evanson, James A is an individual health care provider with primary practice located at 3801 Bellemeade Ave Ste 330 , Evansville IN 47714-0113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Evanson, James A can be contacted via phone (812) 479-3125.

Contact Information

Primary practice address
3801 Bellemeade Ave Ste 330 Evansville IN 47714-0113
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01048633A Indiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01048633A Indiana

Profile Details

NPI number 1093715435
LBN Legal business name Evanson, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 3rd, 2018 - about 6 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 1093715435 NPPES
Other 5258690 AETNA
Other 930005675 AETNA
Other 86204 AETNA
MEDICAID 64881295 AETNA
MEDICAID 200183300 AETNA
Other 392107 AETNA

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