Evans, Charles W

Evans, Charles W is an sole proprietor health care provider with primary practice located at 10786 E 39Th St , Yuma AZ 85365-7047. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Evans, Charles W can be contacted via phone (928) 539-5379.

Contact Information

Primary practice address
10786 E 39Th St Yuma AZ 85365-7047
Phone: (928) 539-5379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 5726

Profile Details

NPI number 1184781197
LBN Legal business name Evans, Charles W
Credentials FOSTER PARENT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
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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