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LINDA SUE EVANS M.D. NPI 1912989021


NPI Information

NPI: 1912989021
Provider Name: LINDA SUE EVANS, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
677 E MAIN ST STE B
CENTREVILLE, MI
ZIP 49032
Phone: (269) 467-9011
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Linda Sue Evans, M.D. is a pediatrics in Centreville, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Linda Sue Evans, M.D. NPI is 1912989021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

677 E MAIN ST STE B
CENTREVILLE, MI
ZIP 49032-525
Phone: (269) 467-9011
Fax: (269) 467-9511

The enumeration date for this NPI number is 11/15/2005 and was last updated on 7/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics4301062677MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D69425MEDICARE UPINMICHIGAN
2700G560080OTHERMICHIGANBCBSM
3230015MEDICARE OSCAR/CERTIFICATIONMICHIGAN
43525600 10MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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