Matthew Shane Evans is a Modesto, California based Prosthetics. Active license number of Matthew Shane Evans is CPO02042 for Prosthetics in California. His current practice location is 1705 Coffee Rd, Suite 1, Modesto. Patients can reach him at 209-544-2273 or can fax him at 209-544-2274. Matthew Shane Evans is CPO in Prosthetics and his NPI number (Unique professional ID assigned by NPPES) is 1245476597. Matthew Shane Evans is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Complete Profile:
Matthew Shane Evans speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Prosthetics
Credentials:
CPO
Gender:
Male
Practice Address:
1705 Coffee Rd, Suite 1, Modesto, California, 95355-2809
Phone:
209-544-2273
Fax:
209-544-2274
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1245476597
NPI Enumeration Date:
16 Dec, 2008
NPI Last Update On:
22 May, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Shane Evans are as mentioned below.
License Number
Specialization
State
Status
CPO02042
Prosthetist
California
Primary
CPO02042
Orthotics
California
Secondary
CPO02042
Pedorthist
California
Secondary
CPO02042
Prosthetic/Orthotic Supplier
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Matthew Shane Evans such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
XC0020420
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1705 Coffee Rd, Suite1 Modesto, California
Zip:
95355-2809
Phone Number:
209-544-2273
Fax Number:
209-544-2274
Patients can reach Matthew Shane Evans at 1705 Coffee Rd, Suite 1, Modesto, California or can call to book an appointment on 209-544-2273. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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