Evanchick, Christine C

Evanchick, Christine C is an individual health care provider with primary practice located at 2150 Main St , Springfield MA 01104-3300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Evanchick, Christine C can be contacted via phone (413) 739-5676.

Contact Information

Primary practice address
2150 Main St Springfield MA 01104-3300
Phone: (413) 739-5676
Fax: (413) 739-2278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 58598 Massachusetts

Profile Details

NPI number 1316975097
LBN Legal business name Evanchick, Christine C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 24th, 2010 - about 15 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 1316975097 NPPES
Massachusetts Other J05700 BLUE CROSS BLUE SHIELD
Massachusetts Other 010058598MA01 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 3013545 BLUE CROSS BLUE SHIELD
Massachusetts Other 058598 BLUE CROSS BLUE SHIELD
Massachusetts Other 23819 BLUE CROSS BLUE SHIELD

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