Evans, Jacqueline
Evans, Jacqueline is an individual health care provider with primary practice located at 37944 Church Ave , Dade City FL 33525-4207. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Evans, Jacqueline can be contacted via phone (352) 518-2000.Contact Information
Primary practice address
37944 Church Ave
Dade City FL 33525-4207
Phone: (352) 518-2000
Fax: (352) 567-5193
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | DH10640 | Florida |
Profile Details
NPI number | 1255602660 |
---|---|
LBN Legal business name | Evans, Jacqueline |
Credentials | Registered Dental Hygienist (RDH) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2012 |
Last updated | Jan 17th, 2012 - 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 | 1255602660 | NPPES |
Florida | Other | DH10640 | LICENSE |
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