Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KARL BRUCE EVANS
Active Sole ProprietorAir Carrier · VINELAND, NJ
Registration Details
- NPI Number
- 1164099313
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2021 (4.8745809691691 yrs)
- Last Updated
- Jun 7, 2021
- License
-
0450656388 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
771 S EAST AVE APT 777771SVINELAND, NJ, 083605958Browse NJ providers · Browse ZIP 08360
- Phone
- 8568395423
- Fax
- 8566910708
- Primary Specialty
-
Air Carrier
343800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.