Perez, Evelina Vega
Perez, Evelina Vega is an individual health care provider with primary practice located at 2300 Garrison Blvd Suite 190, Baltimore MD 21216-2335. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Perez, Evelina Vega can be contacted via phone (410) 566-2501.Contact Information
Primary practice address
2300 Garrison Blvd Suite 190
Baltimore MD 21216-2335
Phone: (410) 566-2501
Fax: (410) 566-3025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 19529 | Maryland |
Profile Details
| NPI number | 1376591966 |
|---|---|
| LBN Legal business name | Perez, Evelina Vega |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Nov 5th, 2008 - about 18 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 | 1376591966 | NPPES |
| Maryland | Other | E705 | FEDERAL BLUECROSS/SHIELD |
| Maryland | Other | LV17 | FEDERAL BLUECROSS/SHIELD |
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