Evans, Mary Louise

Evans, Mary Louise is an individual health care provider with primary practice located at 4200 Park Ave , Bridgeport CT 06604-1049. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Evans, Mary Louise can be contacted via phone (203) 365-6443.

Contact Information

Primary practice address
4200 Park Ave Bridgeport CT 06604-1049
Phone: (203) 365-6443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X

Profile Details

NPI number 1205324266
LBN Legal business name Evans, Mary Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2018
Last updated Jun 16th, 2018 - about 6 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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