Evans, Bridgette Elaine

Evans, Bridgette Elaine is an individual health care provider with primary practice located at 1075 S Check St Ste 110 , Wasilla AK 99654-8067. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Bridgette Elaine can be contacted via phone (912) 318-2329.

Contact Information

Primary practice address
1075 S Check St Ste 110 Wasilla AK 99654-8067
Phone: (912) 318-2329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 195464 Alaska

Profile Details

NPI number 1306490651
LBN Legal business name Evans, Bridgette Elaine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2019
Last updated Apr 26th, 2023 - about last year

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 1306490651 NPPES
Alaska MEDICAID 1735622

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