Madison, Evelyn
Madison, Evelyn is an sole proprietor health care provider with primary practice located at 620 Howard Ave Access Center, Building C, Altoona PA 16601-4804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Madison, Evelyn can be contacted via phone (814) 889-6901.Contact Information
Primary practice address
620 Howard Ave Access Center, Building C
Altoona PA 16601-4804
Phone: (814) 889-6901
Fax: (814) 889-6548
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW008626L | Pennsylvania |
Profile Details
NPI number | 1750469805 |
---|---|
LBN Legal business name | Madison, Evelyn |
Credentials | MSW, LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 2nd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
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