Evangelista, Maria V

Evangelista, Maria V is an individual health care provider with primary practice located at 211 N Eddy St , South Bend IN 46617-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Evangelista, Maria V can be contacted via phone (574) 237-9261.

Contact Information

Primary practice address
211 N Eddy St South Bend IN 46617-2808
Phone: (574) 237-9261
Fax: (574) 237-9208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01048781A Indiana

Profile Details

NPI number 1871583674
LBN Legal business name Evangelista, Maria V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated May 24th, 2021 - about 3 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 1871583674 NPPES
Indiana MEDICAID 200191780

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