Evans, Amy Elizabeth
Evans, Amy Elizabeth is an individual health care provider with primary practice located at 1168 Cherry Lane Rd , Glade Valley NC 28627-9281. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Evans, Amy Elizabeth can be contacted via phone (336) 467-4357.Contact Information
Primary practice address
1168 Cherry Lane Rd
Glade Valley NC 28627-9281
Phone: (336) 467-4357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3827 | North Carolina |
Profile Details
| NPI number | 1912997487 |
|---|---|
| LBN Legal business name | Evans, Amy Elizabeth |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jun 4th, 2020 - about 6 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 | 1912997487 | NPPES |
| North Carolina | MEDICAID | 7301562 | |
| North Carolina | Other | A9496 | |
| North Carolina | Other | 1175F | |
| North Carolina | Other | 173442 | |
| North Carolina | Other | 2211795 | |
| North Carolina | Other | 162834 |
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