Ortiz-Evans, Ileana
Ortiz-Evans, Ileana is an sole proprietor health care provider with primary practice located at 1205 Us Route 22 , Phillipsburg NJ 08865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ortiz-Evans, Ileana can be contacted via phone (908) 213-2211.Contact Information
Primary practice address
1205 Us Route 22
Phillipsburg NJ 08865
Phone: (908) 213-2211
Fax: (908) 213-9913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD071288L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA68294 | New Jersey |
Profile Details
| NPI number | 1053301499 |
|---|---|
| LBN Legal business name | Ortiz-Evans, Ileana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Feb 21st, 2020 - about 4 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 | 1053301499 | NPPES |
| New Jersey | MEDICAID | 8313407 | |
| New Jersey | Other | 119772 |
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