Evans, Ann M

Evans, Ann M is an individual health care provider with primary practice located at 180 Centre St , Brockton MA 02302-2733. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Evans, Ann M can be contacted via phone (508) 866-6300.

Contact Information

Primary practice address
180 Centre St Brockton MA 02302-2733
Fax:
Website:

Health care specialties

Profile Details

NPI number 1386380061
LBN Legal business name Evans, Ann M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2022
Last updated May 6th, 2022 - about 3 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 1386380061 NPPES
Massachusetts MEDICAID 101YA0400X

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