Weigel, Evelyn Ann

Weigel, Evelyn Ann is an individual health care provider with primary practice located at 2508 Se 20Th St , Bentonville AR 72712-4008. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Weigel, Evelyn Ann can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
2508 Se 20Th St Bentonville AR 72712-4008
Fax: (479) 845-2111
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 88-7E Arkansas

Profile Details

NPI number 1174561690
LBN Legal business name Weigel, Evelyn Ann
Credentials LPE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 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 1174561690 NPPES
Arkansas Other 5T353 BLUE SHIELD PROVIDER #

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