Evans, Michele Lynn
Evans, Michele Lynn is an individual health care provider with primary practice located at 1808 Verdugo Blvd Suite 319, Glendale CA 91208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Evans, Michele Lynn can be contacted via phone (626) 440-9161.Contact Information
Primary practice address
1808 Verdugo Blvd Suite 319
Glendale CA 91208
Phone: (626) 440-9161
Fax: (626) 585-1603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | A62219 | California |
Profile Details
| NPI number | 1699745257 |
|---|---|
| LBN Legal business name | Evans, Michele Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 28th, 2014 - about 12 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 | 1699745257 | NPPES |
| California | Other | A62219 | MEDICAL LICENSE |
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