Martin, Evelina Carol

Martin, Evelina Carol is an individual health care provider with primary practice located at 6630 Quaker Ave Ste 102 Dialysis Center Of Lubbock, Lubbock TX 79413-5939. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Evelina Carol can be contacted via phone (806) 793-1414.

Contact Information

Primary practice address
6630 Quaker Ave Ste 102 Dialysis Center Of Lubbock Lubbock TX 79413-5939
Phone: (806) 793-1414
Fax: (806) 793-0932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 25334 Texas

Profile Details

NPI number 1578660361
LBN Legal business name Martin, Evelina Carol
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578660361 NPPES
Texas Other SW 25334 LICENSED CLNICAL SOCIAL W

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