Evans, Diana Grace

Evans, Diana Grace is an individual health care provider with primary practice located at 677A East Main , Centreville MI 49032. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Diana Grace can be contacted via phone (269) 467-1000.

Contact Information

Primary practice address
677A East Main Centreville MI 49032

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6802081246 Michigan

Profile Details

NPI number 1336120104
LBN Legal business name Evans, Diana Grace
Credentials LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 17th, 2009 - about 14 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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All States NPI 1336120104 NPPES
Michigan MEDICAID 1708146

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