Garcia, Evangeline M
Garcia, Evangeline M is an individual health care provider with primary practice located at 813 Chesapeake Dr Ste 1 , Cambridge MD 21613. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Garcia, Evangeline M can be contacted via phone (410) 221-2266.Contact Information
Primary practice address
813 Chesapeake Dr Ste 1
Cambridge MD 21613
Phone: (410) 221-2266
Fax: (410) 221-2878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | D0018661 | Maryland |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0018661 | Maryland |
Profile Details
| NPI number | 1861488058 |
|---|---|
| LBN Legal business name | Garcia, Evangeline M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Nov 29th, 2018 - about 6 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 | 1861488058 | NPPES |
| Maryland | MEDICAID | 479302100 | |
| Maryland | MEDICAID | 774800100 |
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