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
Fax: (203) 785-7053
Website:

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396726691 NPPES
Connecticut MEDICAID 001294222

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