Evans, Wendy Jo
Evans, Wendy Jo is an individual health care provider with primary practice located at 17 Stackpole Dr Ste 3, Machias ME 04654-7000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Wendy Jo can be contacted via phone (207) 255-4600.Contact Information
Primary practice address
17 Stackpole Dr Ste 3
Machias ME 04654-7000
Phone: (207) 255-4600
Fax: (207) 255-4602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | #LC3498 | Maine |
Profile Details
| NPI number | 1841356656 |
|---|---|
| LBN Legal business name | Evans, Wendy Jo |
| Credentials | Master of Science in Social Work (MSSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Mar 14th, 2020 - about 6 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 | 1841356656 | NPPES |
| Maine | MEDICAID | 328970099 |
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