Sirc, Evan

Sirc, Evan is an individual health care provider with primary practice located at 1661 Soquel Dr Ste G , Santa Cruz CA 95065-1709. 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 / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sirc, Evan can be contacted via phone (831) 476-7711.

Contact Information

Primary practice address
1661 Soquel Dr Ste G Santa Cruz CA 95065-1709
Fax:
Website:

Health care specialties

Profile Details

NPI number 1003019654
LBN Legal business name Sirc, Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Oct 16th, 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 1003019654 NPPES
California MEDICAID 1003019654
California Other 00A1198250

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