Evans, Richard K

Evans, Richard K is an individual health care provider with primary practice located at 222 E Cottonwood Ln , Casa Grande AZ 85222. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Evans, Richard K can be contacted via phone (520) 421-9910.

Contact Information

Primary practice address
222 E Cottonwood Ln Casa Grande AZ 85222
Phone: (520) 421-9910
Fax: (520) 421-0078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-10481 Arizona

Profile Details

NPI number 1255427936
LBN Legal business name Evans, Richard K
Credentials MC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 9th, 2007 - about 17 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 1255427936 NPPES
Arizona Other LPC-10481 LPC LICENSE
Arizona MEDICAID 748915 LPC LICENSE

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