Provider Demographics
NPI:1619557469
Name:UNITED MEDICAL EVALUATORS
Entity Type:Organization
Organization Name:UNITED MEDICAL EVALUATORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TICHIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-922-0001
Mailing Address - Street 1:910 PLEASANT GROVE BLVD
Mailing Address - Street 2:STE 120-232
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-6193
Mailing Address - Country:US
Mailing Address - Phone:877-922-0001
Mailing Address - Fax:877-922-0001
Practice Address - Street 1:3017 DOUGLAS BLVD
Practice Address - Street 2:STE 300
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661
Practice Address - Country:US
Practice Address - Phone:877-922-0001
Practice Address - Fax:877-922-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical ExaminerGroup - Single Specialty