Evetts, Michael
Evetts, Michael is an individual health care provider with primary practice located at 801 Woodlawn Ave Ste 15 , O Fallon MO 63366-7647. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Evetts, Michael can be contacted via phone (636) 379-1779.Contact Information
Primary practice address
801 Woodlawn Ave Ste 15
O Fallon MO 63366-7647
Phone: (636) 379-1779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1558969055 |
|---|---|
| LBN Legal business name | Evetts, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2020 |
| Last updated | Oct 15th, 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.
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