Evans, Patrice Maree

Evans, Patrice Maree is an sole proprietor health care provider with primary practice located at 202 Elm Ave Suite 2, Munising MI 49862-1108. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Patrice Maree can be contacted via phone (906) 387-6404.

Contact Information

Primary practice address
202 Elm Ave Suite 2 Munising MI 49862-1108
Fax: (888) 405-0628
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801085455 Michigan

Profile Details

NPI number 1639364706
LBN Legal business name Evans, Patrice Maree
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2007
Last updated Nov 20th, 2015 - about 10 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 1639364706 NPPES
Michigan Other MI5062 MEDICARE PTAN

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