Evenson, Amber

Evenson, Amber is an individual health care provider with primary practice located at 410 W 16Th Ave , Tyndall SD 57066-2318. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Evenson, Amber can be contacted via phone (605) 589-2190.

Contact Information

Primary practice address
410 W 16Th Ave Tyndall SD 57066-2318
Phone: (605) 589-2190
Fax: (605) 589-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1011 South Dakota

Profile Details

NPI number 1285003772
LBN Legal business name Evenson, Amber
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2015
Last updated May 21st, 2019 - about 7 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 1285003772 NPPES
South Dakota MEDICAID 2010785

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