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
Phone: (248) 684-6003
Fax: (248) 684-6007
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912004581 | NPPES |
Michigan | Other | 680F328270 | BC/BS PIN |
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