Melville, Evan

Melville, Evan is an individual health care provider with primary practice located at 703 S Americana Blvd Ste 120 , Boise ID 83702-6754. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Melville, Evan can be contacted via phone (208) 706-2663.

Contact Information

Primary practice address
703 S Americana Blvd Ste 120 Boise ID 83702-6754
Phone: (208) 706-2663
Fax: (208) 489-4300
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X O-1882 Idaho

Profile Details

NPI number 1942867148
LBN Legal business name Melville, Evan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2019
Last updated Sep 20th, 2023 - about 2 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.

Request for update

Popular Providers