Evans, Rachael Jo

Evans, Rachael Jo is an individual health care provider with primary practice located at 802 Johnnie Dodds Blvd Suite A, Mt Pleasant SC 29464-3183. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Evans, Rachael Jo can be contacted via phone (843) 856-1634.

Contact Information

Primary practice address
802 Johnnie Dodds Blvd Suite A Mt Pleasant SC 29464-3183
Phone: (843) 856-1634
Fax: (843) 856-2534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 2236 South Carolina

Profile Details

NPI number 1871541474
LBN Legal business name Evans, Rachael Jo
Credentials OTR L CHT
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Feb 1st, 2008 - about 16 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 1871541474 NPPES
South Carolina MEDICAID TH1525

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