Evelti, David Joseph
Evelti, David Joseph is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Evelti, David Joseph can be contacted via phone (217) 876-8121.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036-095852 | Illinois |
Profile Details
| NPI number | 1023096401 |
|---|---|
| LBN Legal business name | Evelti, David Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Nov 27th, 2023 - about last year |
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 | 1023096401 | NPPES |
| Illinois | Other | 036095852 | BC OF IL |
| Illinois | MEDICAID | 036095852 | BC OF IL |
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