Anderson, Evelyn Kelly
Anderson, Evelyn Kelly is an individual health care provider with primary practice located at 1301 Dove St , Monroe NC 28112-5012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anderson, Evelyn Kelly can be contacted via phone (704) 283-8888.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9401437 | North Carolina |
Profile Details
NPI number | 1376584037 |
---|---|
LBN Legal business name | Anderson, Evelyn Kelly |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2006 |
Last updated | Mar 4th, 2008 - about 17 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 | 1376584037 | NPPES |
Other | 6594700 | CIGNA | |
Other | 017WA | CIGNA | |
MEDICAID | 5903343 | CIGNA |
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