Summers, Evan L.

Summers, Evan L. is an individual health care provider with primary practice located at 2301 South Lamar Blvd , Oxford MS 38655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Summers, Evan L. can be contacted via phone (662) 232-8568.

Contact Information

Primary practice address
2301 South Lamar Blvd Oxford MS 38655
Fax: (662) 513-1450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16638 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 16638 Mississippi

Profile Details

NPI number 1922074384
LBN Legal business name Summers, Evan L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Nov 15th, 2012 - 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 1922074384 NPPES
Mississippi MEDICAID 00121440
Mississippi MEDICAID 02453398

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