Stephen Evans in Fogelsville - Sports Medicine

Stephen Evans - NPI 1083641260

Stephen Evans is a Sports Medicine in Fogelsville, Pennsylvania. Stephen Evans practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Stephen Evans is 1083641260. The last update date is 2022-12-05.

Stephen Evans's current location address is 1431 Nursery St Ste 101, Fogelsville, Pennsylvania. You can contact this provider via phone number 6103368277. The mailing address for Stephen Evans is 1431 Nursery St Ste 101, Fogelsville, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Evans
Address 1431 Nursery St Ste 101, Fogelsville, Pennsylvania
Phone Number 6103368277
Fax Number
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1083641260
Provider Enumeration Date 2006-06-26
Last Updated Date 2022-12-05

Provider Mailing Address Detail

Address 1431 Nursery St Ste 101
City Fogelsville
State Pennsylvania (PA)
Post Code 180511612
Phone Number 6103368277
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No OS012305
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
101872172 PA --

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FAQs about Stephen Evans

What is the unique identifier code issued to Stephen Evans by the Centers for Medicare & Medicaid Services (CMS)?

The Stephen Evans has been assigned the NPI (National Provider Identifier) 1083641260. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Stephen Evans is physically located?

The Stephen Evans is situated at the following address: 1431 Nursery St Ste 101, Fogelsville, PA 180511612.

What is Stephen Evans's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stephen Evans's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.

On what date did the Stephen Evans receive its 1083641260 assignment from the Centers for Medicare & Medicaid Services?

The Stephen Evans was assigned its 1083641260 by the Centers for Medicare & Medicaid Services on 2006-06-26.

When was the Stephen Evans's information last updated?

The Stephen Evans's information was last updated on 2022-12-05.

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