Tankersley, Evan Richard
Tankersley, Evan Richard is an individual health care provider with primary practice located at 3129 Molly Dr , Huntsville TX 77340-6547. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Tankersley, Evan Richard can be contacted via phone (256) 200-2788.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1336879519 |
|---|---|
| LBN Legal business name | Tankersley, Evan Richard |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2022 |
| Last updated | Jun 12th, 2022 - about 2 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 | 1336879519 | NPPES |
| Alabama | Other | BEG849094531 | BCBS ALABMA |
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