Clevenger, E Devault
Clevenger, E Devault is an individual health care provider with primary practice located at 241 Grant St , West End NC 27376. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clevenger, E Devault can be contacted via phone (910) 673-3535.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1760518856 |
|---|---|
| LBN Legal business name | Clevenger, E Devault |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Feb 18th, 2011 - about 13 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760518856 | NPPES |
| North Carolina | Other | 185339 | MED COST |
| North Carolina | Other | 22990 | MED COST |
| North Carolina | MEDICAID | 6002228 | MED COST |
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