Evans Lacert, Angela R
Evans Lacert, Angela R is an sole proprietor health care provider with primary practice located at 625 6Th Ave S Ste 385 , St Petersburg FL 33701-4665. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Evans Lacert, Angela R can be contacted via phone (727) 553-7100.Contact Information
Primary practice address
625 6Th Ave S Ste 385
St Petersburg FL 33701-4665
Phone: (727) 553-7100
Fax: (727) 553-7198
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AY754 | Florida |
Profile Details
NPI number | 1508998766 |
---|---|
LBN Legal business name | Evans Lacert, Angela R |
Credentials | AUD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 12th, 2007 |
Last updated | Mar 1st, 2022 - about 2 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 | 1508998766 | NPPES |
Florida | Other | S00C5 | FLORIDA BLUE |
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