Evingham, Jane
Evingham, Jane is an sole proprietor health care provider with primary practice located at 63 N Main St , Port Allegany PA 16743-1369. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Evingham, Jane can be contacted via phone (814) 642-9500.Contact Information
Primary practice address
63 N Main St
Port Allegany PA 16743-1369
Phone: (814) 642-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | RN341722L | Pennsylvania |
Profile Details
| NPI number | 1962536094 |
|---|---|
| LBN Legal business name | Evingham, Jane |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 9th, 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 | 1962536094 | NPPES |
| Pennsylvania | MEDICAID | 0019434310003 |
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