Evangelista, Maria V
Evangelista, Maria V is an individual health care provider with primary practice located at 211 N Eddy St , South Bend IN 46617-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Evangelista, Maria V can be contacted via phone (574) 237-9261.Contact Information
Primary practice address
211 N Eddy St
South Bend IN 46617-2808
Phone: (574) 237-9261
Fax: (574) 237-9208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01048781A | Indiana |
Profile Details
| NPI number | 1871583674 |
|---|---|
| LBN Legal business name | Evangelista, Maria V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | May 24th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871583674 | NPPES |
| Indiana | MEDICAID | 200191780 |
Popular Providers
-
Durbin, Edward J
714 N Michigan St , South Bend IN 46601-1035 -
Macgregor, Douglas N
515 N Lafayette Blvd , South Bend IN 46601-1003 -
Roth, Ted M.
621 Memorial Dr Ste 302 , South Bend IN 46601-1073 -
Byrne, Tracy S
6301 University Commons Suite 310, South Bend IN 46635-1571 -
Cavallo, Uthman
53800 Generations Dr , South Bend IN 46635 -
Destefano, Michael Joseph
100 Navarre Pl Ste. 4470, South Bend IN 46601-1156 -
Blickensderfer, Janelle Ruth
515 N Lafayette Blvd , South Bend IN 46601-1003 -
Meekhof, Mark J
211 N Eddy St , South Bend IN 46617-2808