Evangelista, Michael M
Evangelista, Michael M is an sole proprietor health care provider with primary practice located at 19201 Bear Valley Rd , Apple Valley CA 92308-2702. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Evangelista, Michael M can be contacted via phone (760) 961-6943.Contact Information
Primary practice address
19201 Bear Valley Rd
Apple Valley CA 92308-2702
Phone: (760) 961-6943
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 57606 | California |
| Pharmacy Service Providers / Pharmacist | 183500000X | 16838 | Nevada |
Profile Details
| NPI number | 1114207057 |
|---|---|
| LBN Legal business name | Evangelista, Michael M |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Aug 23rd, 2011 - 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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