Swanson, Evan Joel
Swanson, Evan Joel is an individual health care provider with primary practice located at 1301 S. Main St. , Ottawa KS 66067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Swanson, Evan Joel can be contacted via phone (785) 229-8300.Contact Information
Primary practice address
1301 S. Main St.
Ottawa KS 66067
Phone: (785) 229-8300
Fax: (785) 229-8417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0428397 | Kansas |
Profile Details
| NPI number | 1144223066 |
|---|---|
| LBN Legal business name | Swanson, Evan Joel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jun 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144223066 | NPPES |
| Kansas | MEDICAID | 100397980B | |
| Kansas | MEDICAID | 100397980A |
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