Los, Evan

Los, Evan is an individual health care provider with primary practice located at 408 N State Of Franklin Rd Suite 31B, Johnson City TN 37604-6089. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Los, Evan can be contacted via phone (423) 431-4946.

Contact Information

Primary practice address
408 N State Of Franklin Rd Suite 31B Johnson City TN 37604-6089
Phone: (423) 431-4946
Fax: (423) 431-4947
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54336 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 54336 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD163055 Oregon

Profile Details

NPI number 1174842348
LBN Legal business name Los, Evan
Credentials EVAN LOS, M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2010
Last updated Feb 15th, 2017 - about 8 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 1174842348 NPPES
Virginia MEDICAID 1174842348
Virginia MEDICAID Q022585

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