Evans, Sarka

Evans, Sarka is an individual health care provider with primary practice located at 760 Pilgrim Way , Green Bay WI 54304-5263. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Evans, Sarka can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
760 Pilgrim Way Green Bay WI 54304-5263
Fax: (920) 496-4705
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1761 Wisconsin

Profile Details

NPI number 1417972373
LBN Legal business name Evans, Sarka
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1417972373 NPPES
Wisconsin MEDICAID 3920700

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