Clough, Evelyn Louise

Clough, Evelyn Louise is an sole proprietor health care provider with primary practice located at 44539 Sterling Hwy Suite 105, Soldotna AK 99669-7938. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clough, Evelyn Louise can be contacted via phone (907) 262-5324.

Contact Information

Primary practice address
44539 Sterling Hwy Suite 105 Soldotna AK 99669-7938
Phone: (907) 262-5324
Fax: (907) 260-7464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1091 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 668 Alaska

Profile Details

NPI number 1124092655
LBN Legal business name Clough, Evelyn Louise
Credentials ANP, CDCII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Jun 8th, 2010 - about 14 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 1124092655 NPPES
Alaska MEDICAID NP4248

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