Evans, Timothy John
Evans, Timothy John is an sole proprietor health care provider with primary practice located at 901 Eastern Ave Ne , Grand Rapids MI 49503-1201. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Evans, Timothy John can be contacted via phone (616) 224-7524.Contact Information
Primary practice address
901 Eastern Ave Ne
Grand Rapids MI 49503-1201
Phone: (616) 224-7524
Fax: (616) 574-7925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 01007858 | Michigan |
Profile Details
| NPI number | 1255766556 |
|---|---|
| LBN Legal business name | Evans, Timothy John |
| Credentials | PHD LPC CAADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2013 |
| Last updated | Sep 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.
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