Evans, Amy
Evans, Amy is an individual health care provider with primary practice located at 275 W Herndon Ave , Clovis CA 93612-0204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Evans, Amy can be contacted via phone (559) 432-4620.Contact Information
Primary practice address
275 W Herndon Ave
Clovis CA 93612-0204
Phone: (559) 432-4620
Fax: (559) 324-6280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G86426 | California |
Profile Details
| NPI number | 1407965155 |
|---|---|
| LBN Legal business name | Evans, Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Nov 6th, 2008 - about 18 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 | 1407965155 | NPPES |
| California | MEDICAID | 00G864260 |
Popular Providers
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