Hurst, Evan B

Hurst, Evan B is an sole proprietor health care provider with primary practice located at 800 W 9Th St , Jasper IN 47546-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hurst, Evan B can be contacted via phone (812) 630-8660.

Contact Information

Primary practice address
800 W 9Th St Jasper IN 47546-2514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10142311 Indiana

Profile Details

NPI number 1265460935
LBN Legal business name Hurst, Evan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Apr 23rd, 2013 - about 12 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 1265460935 NPPES
Indiana Other 110147911 RAILROAD MEDICARE
Indiana MEDICAID 200048850A RAILROAD MEDICARE

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