Evans, Donna J

Evans, Donna J is an individual health care provider with primary practice located at 2206 Eastland Dr Suite 306, Bloomington IL 61704-7742. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Evans, Donna J can be contacted via phone (309) 661-1350.

Contact Information

Primary practice address
2206 Eastland Dr Suite 306 Bloomington IL 61704-7742
Phone: (309) 661-1350
Fax: (309) 661-1360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1750361721
LBN Legal business name Evans, Donna J
Credentials M.A., CCC-SLP/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 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 1750361721 NPPES
Illinois Other 07215148 BLUE CROSS BLUE SHIELD

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