Evans, Teresa

Evans, Teresa is an individual health care provider with primary practice located at 200 Elizabeth St , Charleston WV 25311-2119. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Evans, Teresa can be contacted via phone (304) 348-7740.

Contact Information

Primary practice address
200 Elizabeth St Charleston WV 25311-2119
Phone: (304) 348-7740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 23417 West Virginia

Profile Details

NPI number 1780823534
LBN Legal business name Evans, Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2009
Last updated Feb 18th, 2009 - about 15 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 1780823534 NPPES
West Virginia MEDICAID 3810005623

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