Gregory, Evan Wade

Gregory, Evan Wade is an sole proprietor health care provider with primary practice located at 2302 College Ave , Conway AR 72034-6297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gregory, Evan Wade can be contacted via phone (501) 450-2178.

Contact Information

Primary practice address
2302 College Ave Conway AR 72034-6297
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-7633 Arkansas

Profile Details

NPI number 1659507317
LBN Legal business name Gregory, Evan Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2009
Last updated May 20th, 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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