Evans, Tracy A

Evans, Tracy A is an individual health care provider with primary practice located at 2138 Mendon Rd Suite 302, Cumberland RI 02864-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Evans, Tracy A can be contacted via phone (401) 334-1060.

Contact Information

Primary practice address
2138 Mendon Rd Suite 302 Cumberland RI 02864-3834
Phone: (401) 334-1060
Fax: (401) 334-1063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X CPA00245 Rhode Island

Profile Details

NPI number 1922094853
LBN Legal business name Evans, Tracy A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated May 16th, 2016 - about 9 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 1922094853 NPPES
Rhode Island Other 2036 BC
Rhode Island Other 408249 BC
Rhode Island MEDICAID 7008740 BC
Rhode Island Other 1922094853 BC

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