Evans, Chasity R

Evans, Chasity R is an individual health care provider with primary practice located at 2525 W University Ave Suite 404, Muncie IN 47303-3421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Evans, Chasity R can be contacted via phone (765) 231-9494.

Contact Information

Primary practice address
2525 W University Ave Suite 404 Muncie IN 47303-3421
Phone: (765) 231-9494
Fax: (765) 587-4456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71003791A Indiana

Profile Details

NPI number 1013286699
LBN Legal business name Evans, Chasity R
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2011
Last updated Feb 13th, 2017 - about 9 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 1013286699 NPPES
Indiana MEDICAID 201043570

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