Williams, Evan M
Williams, Evan M is an individual health care provider with primary practice located at 2 Medical Plaza Dr Ste 205 , Roseville CA 95661-3044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Williams, Evan M can be contacted via phone (916) 773-8711.Contact Information
Primary practice address
2 Medical Plaza Dr Ste 205
Roseville CA 95661-3044
Phone: (916) 773-8711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 56776 | Minnesota |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | C172182 | California |
Profile Details
| NPI number | 1225297492 |
|---|---|
| LBN Legal business name | Williams, Evan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Aug 19th, 2021 - about 3 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 | 1225297492 | NPPES |
| Minnesota | Other | 56776 | MINNESOTA LICENSE |
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