Evans, Ellen M

Evans, Ellen M is an individual health care provider with primary practice located at 22423 N 91St Dr , Peoria AZ 85383-4160. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Evans, Ellen M can be contacted via phone (480) 257-8245.

Contact Information

Primary practice address
22423 N 91St Dr Peoria AZ 85383-4160
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA12223 Arizona

Profile Details

NPI number 1477183283
LBN Legal business name Evans, Ellen M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2020
Last updated Jan 21st, 2020 - about 6 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 1477183283 NPPES
Arizona Other SLPA12223 STATE LICENSE

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