Evink, Bruce A

Evink, Bruce A is an individual health care provider with primary practice located at 1527 Broadway St , Alexandria MN 56308-2537. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Evink, Bruce A can be contacted via phone (320) 762-0399.

Contact Information

Primary practice address
1527 Broadway St Alexandria MN 56308-2537
Phone: (320) 762-0399
Fax: (320) 762-6847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 44686 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44686 Minnesota

Profile Details

NPI number 1518937911
LBN Legal business name Evink, Bruce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jan 17th, 2014 - about 11 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 1518937911 NPPES
Minnesota MEDICAID 726436400
Minnesota Other A022
Minnesota Other 1040669
Minnesota Other HP41113
Minnesota Other 0117892
Minnesota Other 169147D277
Minnesota Other 2083650
Minnesota Other 058G7EV

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