O'Donnell, Evan Alexander

O'Donnell, Evan Alexander is an sole proprietor health care provider with primary practice located at 55 Fruit Street, Yaw3-3561 , Boston MA 02114. 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. O'Donnell, Evan Alexander can be contacted via phone (617) 643-2401.

Contact Information

Primary practice address
55 Fruit Street, Yaw3-3561 Boston MA 02114
Phone: (617) 643-2401
Fax:
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 207XX0005X 281410 New York

Profile Details

NPI number 1851710487
LBN Legal business name O'Donnell, Evan Alexander
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2014
Last updated Feb 17th, 2019 - about 6 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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