Evans, Pamela Denise

Evans, Pamela Denise is an individual health care provider with primary practice located at 726 E Michigan Dr Ste 530 , Hobbs NM 88240-3467. She recently has only one registered license in Other Service Providers / Lodging, which is considered as her primary health care specialty. Evans, Pamela Denise can be contacted via phone (505) 397-2801.

Contact Information

Primary practice address
726 E Michigan Dr Ste 530 Hobbs NM 88240-3467
Phone: (505) 397-2801
Fax: (505) 393-4132
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X

Profile Details

NPI number 1366555930
LBN Legal business name Evans, Pamela Denise
Credentials DIRECTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 5th, 2013 - about 11 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 1366555930 NPPES
New Mexico MEDICAID 21473889
New Mexico MEDICAID 00000J0175
New Mexico MEDICAID 62225715
New Mexico MEDICAID 00000D0717

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