Ingram, Evan Miles

Ingram, Evan Miles is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Ingram, Evan Miles can be contacted via phone (614) 722-6200.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35147341 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35147341 Ohio

Profile Details

NPI number 1245869429
LBN Legal business name Ingram, Evan Miles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2020
Last updated Aug 14th, 2023 - about last year

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 1245869429 NPPES
Ohio MEDICAID 0407725

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