Evans, Jacqueline Ann

Evans, Jacqueline Ann is an individual health care provider with primary practice located at 2150 Noll Dr , Lancaster PA 17603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Evans, Jacqueline Ann can be contacted via phone (717) 874-4297.

Contact Information

Primary practice address
2150 Noll Dr Lancaster PA 17603
Phone: (717) 874-4297
Fax: (717) 874-4298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X OS008644L Pennsylvania

Profile Details

NPI number 1851378871
LBN Legal business name Evans, Jacqueline Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Dec 12th, 2020 - about 4 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 1851378871 NPPES
Pennsylvania MEDICAID 001726636
Pennsylvania MEDICAID 0017266360008

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