Evans, Stephanie Marie
Evans, Stephanie Marie is an individual health care provider with primary practice located at 2020 N Central Ave Ste 1010, Phoenix AZ 85004-4501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Evans, Stephanie Marie can be contacted via phone (602) 553-8400.Contact Information
Primary practice address
2020 N Central Ave Ste 1010
Phoenix AZ 85004-4501
Phone: (602) 553-8400
Fax: (602) 553-8408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29793 | Arizona |
Profile Details
| NPI number | 1871583062 |
|---|---|
| LBN Legal business name | Evans, Stephanie Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Dec 17th, 2007 - about 19 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 | 1871583062 | NPPES |
| Arizona | MEDICAID | 618796-16 |
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