Evans, Marilyn
Evans, Marilyn is an sole proprietor health care provider with primary practice located at 10515 Theodore Green Blvd , White Plains MD 20695-3042. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Evans, Marilyn can be contacted via phone (301) 873-4593.Contact Information
Primary practice address
10515 Theodore Green Blvd
White Plains MD 20695-3042
Phone: (301) 873-4593
Fax: (301) 753-1919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC3424 | Maryland |
Profile Details
| NPI number | 1013231265 |
|---|---|
| LBN Legal business name | Evans, Marilyn |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2010 |
| Last updated | Dec 6th, 2010 - about 16 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 | 1013231265 | NPPES |
| Maryland | MEDICAID | 036797400 |
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