Evenson, Juston D
Evenson, Juston D is an individual health care provider with primary practice located at 1102 W 32Nd St , Joplin MO 64804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Evenson, Juston D can be contacted via phone (417) 347-1078.Contact Information
Primary practice address
1102 W 32Nd St
Joplin MO 64804
Phone: (417) 347-1078
Fax: (417) 347-1079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2004016881 | Missouri |
Profile Details
| NPI number | 1386690303 |
|---|---|
| LBN Legal business name | Evenson, Juston D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Oct 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386690303 | NPPES |
| Oklahoma | MEDICAID | 200060210A | |
| Oklahoma | MEDICAID | 200332410A | |
| Oklahoma | Other | P00235909 | |
| Oklahoma | MEDICAID | 207350703 |
Popular Providers
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Ramsey, Bradford L
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