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Contact Information

ERICA EVANS, LDA, CDA, CHW
1405 ANNE ST NW
BEMIDJI, MN56601-5113
 Phone: 218-444-9646
 Fax: 218-444-9252
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for ERICA EVANS · (Female)

NPI Number 1760928584
Status Active
Credentials LDA, CDA, CHW
Entity Individual
Enumeration date 01/18/2017
Last updated 01/18/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # A13922
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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