Evans, Janice E.

Evans, Janice E. is an sole proprietor health care provider with primary practice located at 7101 Prospect Pl Ne , Albuquerque NM 87110-4332. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Evans, Janice E. can be contacted via phone (505) 878-0177.

Contact Information

Primary practice address
7101 Prospect Pl Ne Albuquerque NM 87110-4332
Fax: (505) 888-0477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X NM89-31 New Mexico
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X NM89-31 New Mexico

Profile Details

NPI number 1245446178
LBN Legal business name Evans, Janice E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1245446178 NPPES
New Mexico MEDICAID 21089

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