Evans, Annette Renee

Evans, Annette Renee is an individual health care provider with primary practice located at 1042 N Milford Rd Ste 203 , Milford MI 48381-5109. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Annette Renee can be contacted via phone (248) 684-6003.

Contact Information

Primary practice address
1042 N Milford Rd Ste 203 Milford MI 48381-5109
Fax: (248) 684-6007
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301012090 Michigan

Profile Details

NPI number 1912004581
LBN Legal business name Evans, Annette Renee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Jul 21st, 2015 - about 10 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 1912004581 NPPES
Michigan Other 680F328270 BC/BS PIN

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