Matthew Shane Evans
Podiatrist Prosthetist
1705 Coffee Rd Suite 1
Modesto
, California 95355-2809
Matthew Shane Evans
Podiatrist Prosthetist
1705 Coffee Rd Suite 1
Modesto
, California 95355-2809
(209) 544-2274
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Matthew Shane Evans
- 1705 Coffee Rd Suite1
- Modesto, CA
- Zip : 95355-2809
- Fax : (209) 544-2274
- Phone : (209) 544-2273
Second Address
- Matthew Shane Evans
- 1705 Coffee Rd Suite 1
- Modesto, CA
- Zip : 95355-2809
- Fax : (209) 544-2274
- Phone : (209) 544-2273
Reviews
FAQs
Where did Matthew Shane Evans attend graduate school?
Where did Matthew Shane Evans do his residency?
Where did Matthew Shane Evans do his fellowship?
Is Matthew Shane Evans board certified?
What type of doctor is Matthew Shane Evans
In what state does Matthew Shane Evans practice in?
Where is Matthew Shane Evans ’s practice located?
What is Matthew Shane Evans ’s gender?
Is Matthew Shane Evans a sole practitioner?
Is Matthew Shane Evans accepting new patients?
What languages does Matthew Shane Evans speak?
Does Matthew Shane Evans accept insurance?
Does Matthew Shane Evans offers telemedicine?
What is Matthew Shane Evans ’s professional license number?
What is Matthew Shane Evans ’s NPI number?
Does Matthew Shane Evans have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | CPO02042 | CA |
| N | 222Z00000X | Podiatrist | CPO02042 | CA |
| Y | 224P00000X | Prosthetist | CPO02042 | CA |
National Provider Identifier
| NPI | 1245476597 |
|---|---|
| Provider Name | Matthew Shane Evans |
| First Address | Modesto, CA 95355-2809 |
| Second Address | Modesto, CA 95355-2809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/12/2008 |
| Last Update Date | 22/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| XC0020420 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.