Wells, Evelyn R

Wells, Evelyn R is an individual health care provider with primary practice located at 1945 Corlies Ave , Neptune NJ 07753-4859. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Wells, Evelyn R can be contacted via phone (732) 776-4203.

Contact Information

Primary practice address
1945 Corlies Ave Neptune NJ 07753-4859
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA07405300 New Jersey

Profile Details

NPI number 1962459313
LBN Legal business name Wells, Evelyn R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Dec 19th, 2021 - about 3 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 1962459313 NPPES
New Jersey MEDICAID 8895708

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