Evans, Janine
Evans, Janine is an individual health care provider with primary practice located at 789 Howard Ave Dana Building 3Rd Fl, New Haven CT 06519-1304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Evans, Janine can be contacted via phone (203) 737-5430.Contact Information
Primary practice address
789 Howard Ave Dana Building 3Rd Fl
New Haven CT 06519-1304
Phone: (203) 737-5430
Fax: (203) 785-7053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 029422 | Connecticut |
Profile Details
| NPI number | 1396726691 |
|---|---|
| LBN Legal business name | Evans, Janine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Mar 21st, 2012 - about 13 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 | 1396726691 | NPPES |
| Connecticut | MEDICAID | 001294222 |
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