Evans, Mark Cunningham

Evans, Mark Cunningham is an individual health care provider with primary practice located at 1726 Buckley Ln , Provo UT 84606-5031. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Evans, Mark Cunningham can be contacted via phone (801) 373-6562.

Contact Information

Primary practice address
1726 Buckley Ln Provo UT 84606-5031
Phone: (801) 373-6562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1912243197
LBN Legal business name Evans, Mark Cunningham
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2012
Last updated Dec 17th, 2012 - about 13 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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