Evans, Carly Michelle

Evans, Carly Michelle is an individual health care provider with primary practice located at 4050 Coon Rapids Blvd Mercy Medical Center, Coon Rapids MN 55433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Evans, Carly Michelle can be contacted via phone (763) 236-7144.

Contact Information

Primary practice address
4050 Coon Rapids Blvd Mercy Medical Center Coon Rapids MN 55433
Fax: (763) 236-7733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46350 Minnesota

Profile Details

NPI number 1548237720
LBN Legal business name Evans, Carly Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548237720 NPPES
Minnesota Other 46350 MN MEDICAL LICENSE

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