Evangelisti, Jean K

Evangelisti, Jean K is an sole proprietor health care provider with primary practice located at 780 Litchfield St Suite 200, Torrington CT 06790-6268. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Evangelisti, Jean K can be contacted via phone (860) 489-1984.

Contact Information

Primary practice address
780 Litchfield St Suite 200 Torrington CT 06790-6268
Phone: (860) 489-1984
Fax: (860) 496-2195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 002284 Connecticut

Profile Details

NPI number 1760464903
LBN Legal business name Evangelisti, Jean K
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Jul 23rd, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760464903 NPPES
Delaware Other 400002284CT01 ANTHEM- INSURANCE
Delaware Other 705146 ANTHEM- INSURANCE
Delaware MEDICAID 004234481 ANTHEM- INSURANCE

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