Evans, Jeffrey John

Evans, Jeffrey John is an sole proprietor health care provider with primary practice located at 11201 Washburn Ave S , Bloomington MN 55431-3833. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Evans, Jeffrey John can be contacted via phone (952) 888-7699.

Contact Information

Primary practice address
11201 Washburn Ave S Bloomington MN 55431-3833
Phone: (952) 888-7699
Fax: (952) 888-7699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7275 Minnesota

Profile Details

NPI number 1417107335
LBN Legal business name Evans, Jeffrey John
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2008
Last updated Sep 27th, 2008 - about 18 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 1417107335 NPPES
Minnesota Other 7275 MINNESOTA DEPARTMENT OF HEALTH

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