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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851378871 | NPPES |
| Pennsylvania | MEDICAID | 001726636 | |
| Pennsylvania | MEDICAID | 0017266360008 |
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