Owen B Evans in Jackson - Neurology With Special Qualifications In Child Neurology

Owen B Evans - NPI 1649379694

Owen B Evans is a Neurology With Special Qualifications In Child Neurology in Jackson, Mississippi. Owen B Evans practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Owen B Evans is 1649379694. The last update date is 2012-06-21.

Owen B Evans's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845214. The mailing address for Owen B Evans is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Owen B Evans
Address 2500 N State St, Jackson, Mississippi
Phone Number 6019845214
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1649379694
Provider Enumeration Date 2006-09-22
Last Updated Date 2012-06-21

Provider Mailing Address Detail

Address 2500 N State St
City Jackson
State Mississippi (MS)
Post Code 392164500
Phone Number 6019845214
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurology With Special Qualifications In Child Neurology
Taxonomy 2084N0402X
Licence No 10117
Definition:
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1362743 LA --
10988 MS --

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FAQs about Owen B Evans

What is the unique identification code assigned to Owen B Evans by the Centers for Medicare & Medicaid Services?

The Owen B Evans has been issued the NPI (National Provider Identifier) 1649379694. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

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

The Owen B Evans is situated at the following address: 2500 N State St, Jackson, MS 392164500.

What is the area of specialization for Owen B Evans, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Owen B Evans is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0402X.

On what date did the Centers for Medicare & Medicaid Services issue the 1649379694 to Owen B Evans?

The Owen B Evans received its 1649379694 assignment from the Centers for Medicare & Medicaid Services on 2006-09-22.

As of what date was the information pertaining to Owen B Evans, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Owen B Evans, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-21.

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