Evenson, Mary L
Evenson, Mary L is an individual health care provider with primary practice located at 752 N High Point Rd Dean Medical Center, Madison WI 53717-2236. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Evenson, Mary L can be contacted via phone (608) 824-4000.Contact Information
Primary practice address
752 N High Point Rd Dean Medical Center
Madison WI 53717-2236
Phone: (608) 824-4000
Fax: (608) 824-4910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1019-023 | Wisconsin |
Profile Details
| NPI number | 1659366565 |
|---|---|
| LBN Legal business name | Evenson, Mary L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Dec 23rd, 2008 - 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 | 1659366565 | NPPES |
| Other | 60842 | DEAN HEALTH INSURANCE | |
| MEDICAID | 42990900 | DEAN HEALTH INSURANCE |
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