Evans, Bridgette Elaine
Evans, Bridgette Elaine is an individual health care provider with primary practice located at 1075 S Check St Ste 110 , Wasilla AK 99654-8067. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Bridgette Elaine can be contacted via phone (912) 318-2329.Contact Information
Primary practice address
1075 S Check St Ste 110
Wasilla AK 99654-8067
Phone: (912) 318-2329
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 195464 | Alaska |
Profile Details
| NPI number | 1306490651 |
|---|---|
| LBN Legal business name | Evans, Bridgette Elaine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2019 |
| Last updated | Apr 26th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306490651 | NPPES |
| Alaska | MEDICAID | 1735622 |
Popular Providers
-
Beebe, Courtney Marie
851 E Westpoint Dr Suite 302, Wasilla AK 99654 -
Villani, Ivy
2650 E Broadview Ave , Wasilla AK 99654-8302 -
Winters, Isaac Dine'H
301 E Danna Ave , Wasilla AK 99654-6422 -
Payton, Jennifer L
1075 S Check St Suite 101, Wasilla AK 99654-8067 -
Punt, Brittney
5730 E Pilgrim Ct, St A , Wasilla AK 99654-1419 -
Maldonado, Veronica
1051 N Rainbow Park Dr , Wasilla AK 99623-9241 -
Button, Stephanie
7010 E Bogard Rd , Wasilla AK 99654-4711 -
White, Stephanie
124 W Swanson Ave , Wasilla AK 99654-6822