Evans, Barry Leroy
Evans, Barry Leroy is an individual health care provider with primary practice located at 1125 6Th Street Se Woodland Centers, Willmar MN 56201-4675. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Evans, Barry Leroy can be contacted via phone (320) 231-9148.Contact Information
Primary practice address
1125 6Th Street Se Woodland Centers
Willmar MN 56201-4675
Phone: (320) 231-9148
Fax: (320) 231-9140
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 391 | Minnesota |
Profile Details
NPI number | 1023177201 |
---|---|
LBN Legal business name | Evans, Barry Leroy |
Credentials | MASTER SOCIAL WORK |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1023177201 | NPPES |
Other | 1013109 | PREFERRED ONE | |
Other | 115671 | PREFERRED ONE | |
Other | 30024EV | PREFERRED ONE | |
Other | 6220225 | PREFERRED ONE |
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