Individual
EVAN B HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 630-8660
Mailing address
PO BOX 786, JASPER, IN 47547-0786
(812) 630-8660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10142311
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110147911
RAILROAD MEDICARE
IN
05
—
200048850A
—
IN
Enumeration date
06/29/2006
Last updated
04/23/2013
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