Evans, Jasmine A
Evans, Jasmine A is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3981. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Evans, Jasmine A can be contacted via phone (217) 366-1323.Contact Information
Primary practice address
101 W University Ave
Champaign IL 61820-3981
Phone: (217) 366-1323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.021920 | Illinois |
Profile Details
| NPI number | 1013373588 |
|---|---|
| LBN Legal business name | Evans, Jasmine A |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2016 |
| Last updated | May 8th, 2024 - about 2 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 | 1013373588 | NPPES |
| Illinois | Other | 070.021920 | IL LISCENSE |
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