Evans, Susan Anne Edna

Evans, Susan Anne Edna is an individual health care provider with primary practice located at 1411 N Taylor Dr , Sheboygan WI 53081-3043. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Evans, Susan Anne Edna can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1411 N Taylor Dr Sheboygan WI 53081-3043
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1034-25 Wisconsin

Profile Details

NPI number 1003131061
LBN Legal business name Evans, Susan Anne Edna
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2010
Last updated Sep 4th, 2013 - about 11 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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