James Douglas Evansen
James Douglas Evansen is a Physical Therapist in Private Practice in Oshkosh, Wisconsin. Qualified in 2018, 8 years ago. Practices with Integrated Pain and Joint Care SC, a 3-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 8
- Licensed in
- WI
- In the registry since
- 2018
Practice location Address checks out
500 S Oakwood Rd Ste 10Oshkosh, WI 54904-7944
Phone: (920) 236-1868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 14445 (WI) |
|---|
Record details
| NPI number | 1376012658 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 16, 2018 |
| Last updated in NPPES | November 16, 2018 |
| Mailing address | 500 S Oakwood Rd Ste 10, Oshkosh, WI 54904-7944 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Integrated Pain And Joint Care Sc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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