Evenson, Lueata Ann
Evenson, Lueata Ann is an individual health care provider with primary practice located at 350 S Broadway Ave , Wichita KS 67202-4304. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Evenson, Lueata Ann can be contacted via phone (316) 660-9600.Contact Information
Primary practice address
350 S Broadway Ave
Wichita KS 67202-4304
Phone: (316) 660-9600
Fax: (316) 941-5075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 3078 | Kansas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 05394 | Kansas |
Profile Details
| NPI number | 1568637254 |
|---|---|
| LBN Legal business name | Evenson, Lueata Ann |
| Credentials | LSCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Mar 31st, 2021 - about 5 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 | 1568637254 | NPPES |
| Other | 1568637254 | NPI |
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