Jackson-Evans, Catherine Sheila

Jackson-Evans, Catherine Sheila is an individual health care provider with primary practice located at 8865 W 400 N Suite 130, Michigan City IN 46360-9222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jackson-Evans, Catherine Sheila can be contacted via phone (219) 879-5143.

Contact Information

Primary practice address
8865 W 400 N Suite 130 Michigan City IN 46360-9222
Phone: (219) 879-5143
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2017-01003 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 050188 Georgia

Profile Details

NPI number 1598862690
LBN Legal business name Jackson-Evans, Catherine Sheila
Credentials MD, FACOG
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598862690 NPPES
Indiana MEDICAID 201160860
Indiana MEDICAID 00919652A

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