Provider Demographics
NPI:1326383720
Name:EVANS INNOVATIONS, LLC
Entity Type:Organization
Organization Name:EVANS INNOVATIONS, LLC
Other - Org Name:AUDIOLIFE HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:865-694-9870
Mailing Address - Street 1:9724 KINGSTON PIKE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3347
Mailing Address - Country:US
Mailing Address - Phone:865-694-9870
Mailing Address - Fax:865-694-9871
Practice Address - Street 1:9724 KINGSTON PIKE
Practice Address - Street 2:SUITE 205
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3347
Practice Address - Country:US
Practice Address - Phone:865-694-9870
Practice Address - Fax:865-694-9871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty