Provider Demographics
NPI:1871049080
Name:EAMES, EVELYN (PTA)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:EAMES
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 PROVINCETOWN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3449
Mailing Address - Country:US
Mailing Address - Phone:248-219-4106
Mailing Address - Fax:
Practice Address - Street 1:AMN HEALTHCARE
Practice Address - Street 2:220 SOUTH ORANGE AVENUE
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:855-866-7038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE520001059247200000X
MI5502000056247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other