Wilson, Evan Jonathan

Wilson, Evan Jonathan is an sole proprietor health care provider with primary practice located at 2989 East Arow St , Yuma AZ 85365. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Wilson, Evan Jonathan can be contacted via phone (310) 408-7127.

Contact Information

Primary practice address
2989 East Arow St Yuma AZ 85365
Phone: (310) 408-7127
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1003298571
LBN Legal business name Wilson, Evan Jonathan
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2015
Last updated Sep 16th, 2015 - about 9 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 1003298571 NPPES
California Other 1124648471 US NAVY

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