KARL BRUCE EVANS NPI 1164099313

NPI Information

NPI: 1164099313
Provider Name: KARL BRUCE EVANS
Classification: Secured Medical Transport (VAN) - 343800000X
Entity Type: Individual
Address:
771 S EAST AVE APT 777771S
VINELAND, NJ
ZIP 08360
Phone: (856) 839-5423
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Karl Bruce Evans is a secured medical transport van in Vineland, NJ. The provider is a public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. Karl Bruce Evans NPI is 1164099313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

771 S EAST AVE APT 777771S
VINELAND, NJ
ZIP 08360-958
Phone: (856) 839-5423
Fax: (856) 691-0708

The enumeration date for this NPI number is 6/7/2021 and was last updated on 6/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343800000X	Secured Medical Transport (VAN)		0450656388	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0450656388	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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