Evans, Beth Ann

Evans, Beth Ann is an individual health care provider with primary practice located at 22070 Highway 59 Suite C, Abita Springs LA 70420-3606. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Evans, Beth Ann can be contacted via phone (985) 875-2828.

Contact Information

Primary practice address
22070 Highway 59 Suite C Abita Springs LA 70420-3606
Phone: (985) 875-2828
Fax: (985) 892-4684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102202217 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102202217 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO.000451 Louisiana

Profile Details

NPI number 1386744704
LBN Legal business name Evans, Beth Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Nov 17th, 2015 - about 9 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 1386744704 NPPES
Louisiana MEDICAID 2400801
Louisiana MEDICAID 00351871

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