Edward Theodore Evans in Santa Rosa - Diagnostic Ultrasound
Edward Theodore Evans - NPI 1144319039
Edward Theodore Evans is a Diagnostic Ultrasound in Santa Rosa, California. Edward Theodore Evans practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Edward Theodore Evans is 1144319039. The last update date is 2007-07-09.
Edward Theodore Evans's current location address is 121 Sotoyome St, Santa Rosa, California. You can contact this provider via phone number 7075464062 and fax number 7075786258. The mailing address for Edward Theodore Evans is 121 Sotoyome St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward Theodore Evans |
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Address | 121 Sotoyome St, Santa Rosa, California |
Phone Number | 7075464062 |
Fax Number | 7075786258 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1144319039 |
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Provider Enumeration Date | 2006-10-11 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 121 Sotoyome St |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954054823 |
Phone Number | 7075464062 |
Fax Number | 7075786258 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Ultrasound |
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Taxonomy | 2085U0001X |
Licence No | A22103 |
Definition: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00A221030 | CA | -- |
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What is the unique identifier code issued to Edward Theodore Evans by the Centers for Medicare & Medicaid Services?
The Edward Theodore Evans has been assigned the NPI (National Provider Identifier) 1144319039. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edward Theodore Evans located?
The Edward Theodore Evans is located at 121 Sotoyome St, Santa Rosa, CA 954054823.
What is Edward Theodore Evans's area of expertise and its corresponding taxonomy classification?
The Edward Theodore Evans's field of specialization is Diagnostic Ultrasound, and it falls under the taxonomy code 2085U0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Edward Theodore Evans receive its 1144319039 assignment from the Centers for Medicare & Medicaid Services?
The Edward Theodore Evans was assigned its 1144319039 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the Edward Theodore Evans's information last updated?
The Edward Theodore Evans's information was last updated on 2007-07-09.