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
Phone: (812) 479-3125
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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