Evans, Wanda
Evans, Wanda is an individual health care provider with primary practice located at 2401 Towncrest Dr , Iowa City IA 52240-6631. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Evans, Wanda can be contacted via phone (319) 354-2429.Contact Information
Primary practice address
2401 Towncrest Dr
Iowa City IA 52240-6631
Phone: (319) 354-2429
Fax: (319) 354-6100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 00258 |
Profile Details
| NPI number | 1023145943 |
|---|---|
| LBN Legal business name | Evans, Wanda |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023145943 | NPPES |
| Iowa | MEDICAID | 0665463 |
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