Evans, Glenn William

Evans, Glenn William is an sole proprietor health care provider with primary practice located at 2091 Professional Dr Suite I-1, Flint MI 48532-3657. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Evans, Glenn William can be contacted via phone (810) 732-1652.

Contact Information

Primary practice address
2091 Professional Dr Suite I-1 Flint MI 48532-3657
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6401009990 Michigan

Profile Details

NPI number 1396808739
LBN Legal business name Evans, Glenn William
Credentials MA, LLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 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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