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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336120104 | NPPES |
| Michigan | MEDICAID | 1708146 |
Popular Providers
-
Shelner, Paula Marie
3307 E Kilgore Rd , Kalamazoo MI 49001-5594 -
Butkiewicz, Michelle
677 E Main St Ste A , Centreville MI 49032-8525 -
Moord, Alyssia J.
677 East Main Street Suite A, Centreville MI 49032 -
Goddeyne, Katherine Marie
677A East Main , Centreville MI 49032 -
Spirito, Thomas M
677A East Main , Centreville MI 49032 -
Linn, Karolyn Jane
677A East Main , Centreville MI 49032 -
Knapp, Lindsay Eileen
677 E Main St Suite A, Centreville MI 49032-8524 -
Girton-Thrasher, Lynelle M
677A East Main , Centreville MI 49032