Evans, Blake Andrew

Evans, Blake Andrew is an individual health care provider with primary practice located at 700 Cedar St Ste 154, Alexandria MN 56308-1769. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Evans, Blake Andrew can be contacted via phone (320) 762-2400.

Contact Information

Primary practice address
700 Cedar St Ste 154 Alexandria MN 56308-1769
Phone: (320) 762-2400
Fax: (320) 762-8047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4493 Minnesota

Profile Details

NPI number 1740243062
LBN Legal business name Evans, Blake Andrew
Credentials PHD,LP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1740243062 NPPES
Minnesota Other 928011035317 PREFERREDONE
Minnesota Other 408T0EV PREFERREDONE
Minnesota Other HP49914 PREFERREDONE

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