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
Phone: (831) 476-7711
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A119825 | California |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003019654 | NPPES |
California | MEDICAID | 1003019654 | |
California | Other | 00A1198250 |
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