Evans, Wendy

Evans, Wendy is an sole proprietor health care provider with primary practice located at 10150 Staples Mill Rd Suite C, Glen Allen VA 23060-3452. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Evans, Wendy can be contacted via phone (804) 755-7581.

Contact Information

Primary practice address
10150 Staples Mill Rd Suite C Glen Allen VA 23060-3452
Phone: (804) 755-7581
Fax: (804) 755-7586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OT014122 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102203801 Virginia

Profile Details

NPI number 1093007650
LBN Legal business name Evans, Wendy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2011
Last updated Jul 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093007650 NPPES
Virginia Other C06115 GROUP PTAN

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