Evans, Scott Ryan

Evans, Scott Ryan is an individual health care provider with primary practice located at 1000 N 1St St , Albemarle NC 28001-2833. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Evans, Scott Ryan can be contacted via phone (704) 983-2117.

Contact Information

Primary practice address
1000 N 1St St Albemarle NC 28001-2833
Phone: (704) 983-2117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1912100637
LBN Legal business name Evans, Scott Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Dec 10th, 2007 - about 18 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 1912100637 NPPES
North Carolina MEDICAID 6103743

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