Evans, Pamela Denise
Evans, Pamela Denise is an individual health care provider with primary practice located at 726 E Michigan Dr Ste 530 , Hobbs NM 88240-3467. She recently has only one registered license in Other Service Providers / Lodging, which is considered as her primary health care specialty. Evans, Pamela Denise can be contacted via phone (505) 397-2801.Contact Information
Primary practice address
726 E Michigan Dr Ste 530
Hobbs NM 88240-3467
Phone: (505) 397-2801
Fax: (505) 393-4132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lodging | 177F00000X |
Profile Details
| NPI number | 1366555930 |
|---|---|
| LBN Legal business name | Evans, Pamela Denise |
| Credentials | DIRECTOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 5th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366555930 | NPPES |
| New Mexico | MEDICAID | 21473889 | |
| New Mexico | MEDICAID | 00000J0175 | |
| New Mexico | MEDICAID | 62225715 | |
| New Mexico | MEDICAID | 00000D0717 |
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