Julie Kwon Evans, PHD is a
Contractor based in Bloomfield Hills, Michigan. Julie Kwon Evans is licensed to practice in Michigan (license number M719636) and her current practice location is
74 W Long Lake Rd # 28, Bloomfield Hills, Michigan. She can be reached at her office (for appointments etc.) via phone at
(773) 963-1523.
NPI number for Julie Kwon Evans is 1316479017 and her current mailing address is Po Box 2125, Birmingham, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316479017.
Healthcare Provider's Profile
| Full Name | Julie Kwon Evans |
|---|
| Gender | Female |
|---|
| Speciality | Contractor |
|---|
| Location | 74 W Long Lake Rd # 28, Bloomfield Hills, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316479017
- Provider Enumeration Date: 03/31/2017
- Last Update Date: 08/11/2021
Medical Identifiers
Medical identifiers for Julie Kwon Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316479017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Secondary |
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (* (Not Available)) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | M719636 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Julie Kwon Evans is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Julie Kwon Evans, PHD
Po Box 2125,
Birmingham, MI 48012-2125
Ph: (773) 963-1523 | Julie Kwon Evans, PHD
74 W Long Lake Rd # 28,
Bloomfield Hills, MI 48304-2769
Ph: (773) 963-1523 |
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