Individual provider · Type 1 NPI
Matthew James Evans
Student in an Organized Health Care Education/Training Program · Charleston, IL
NPI number
1508449380
Active
Practice location
2086 7th St
Charleston, IL 61920-6192
Mailing address
110 N Van Buren St
Cherry Valley, IL 61016-9492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1508449380
Matthew James Evans's National Provider Identifier is 1508449380, issued on Apr 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, IL. The record was last updated on Apr 30, 2021.