Evenson, Bette Ann
Evenson, Bette Ann is an sole proprietor health care provider with primary practice located at 5790 Casa Grande Way , Bonita CA 91902-2109. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Evenson, Bette Ann can be contacted via phone (442) 999-0077.Contact Information
Primary practice address
5790 Casa Grande Way
Bonita CA 91902-2109
Phone: (442) 999-0077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1073251104 |
|---|---|
| LBN Legal business name | Evenson, Bette Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2022 |
| Last updated | May 27th, 2022 - about 2 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 | 1073251104 | NPPES |
| California | Other | N2435821 | DRIVER LICENSE |
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