Fleming, Evan C

Fleming, Evan C is an individual health care provider with primary practice located at 705 Marketplace Plz , Steamboat Springs CO 80487-1838. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Fleming, Evan C can be contacted via phone (970) 879-6663.

Contact Information

Primary practice address
705 Marketplace Plz Steamboat Springs CO 80487-1838
Phone: (970) 879-6663
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085003942 Illinois

Profile Details

NPI number 1780984021
LBN Legal business name Fleming, Evan C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2010
Last updated Feb 6th, 2021 - about 4 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 1780984021 NPPES
Illinois MEDICAID 085003942

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