Evans, Colleen
Evans, Colleen is an individual health care provider with primary practice located at 400 E 3Rd St Essentia Health Duluth Clinic, Duluth MN 55805-1951. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Evans, Colleen can be contacted via phone (218) 786-8364.Contact Information
Primary practice address
400 E 3Rd St Essentia Health Duluth Clinic
Duluth MN 55805-1951
Phone: (218) 786-8364
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 53321 | Minnesota |
Profile Details
NPI number | 1659564763 |
---|---|
LBN Legal business name | Evans, Colleen |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2007 |
Last updated | Oct 16th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659564763 | NPPES |
Minnesota | Other | 0007-0009348 | MEDICA |
Minnesota | MEDICAID | 1659564763 | MEDICA |
Minnesota | Other | 19446 | MEDICA |
Minnesota | MEDICAID | 1659564763 | MEDICA |
Minnesota | MEDICAID | 1659564763 | MEDICA |
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