Broadwater, Devin Reese
Broadwater, Devin Reese is an individual health care provider with primary practice located at 150 Reynoir St , Biloxi MS 39530-4130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Broadwater, Devin Reese can be contacted via phone (228) 432-1571.Contact Information
Primary practice address
150 Reynoir St
Biloxi MS 39530-4130
Phone: (228) 432-1571
Fax: (419) 866-5453
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 31052 | Nebraska |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 29686 | Mississippi |
Profile Details
NPI number | 1609301779 |
---|---|
LBN Legal business name | Broadwater, Devin Reese |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2017 |
Last updated | Jul 25th, 2023 - about last year |
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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