Mcevoy, Charlene E

Mcevoy, Charlene E is an individual health care provider with primary practice located at 401 Phalen Blvd Mail Stop 41102D, Saint Paul MN 55101-5302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Mcevoy, Charlene E can be contacted via phone (651) 254-7670.

Contact Information

Primary practice address
401 Phalen Blvd Mail Stop 41102D Saint Paul MN 55101-5302
Fax: (651) 254-7676
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 32694 Minnesota

Profile Details

NPI number 1295708931
LBN Legal business name Mcevoy, Charlene E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Aug 26th, 2015 - about 9 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 1295708931 NPPES
Minnesota MEDICAID 955295200

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