Deavens, Michael

Deavens, Michael is an individual health care provider with primary practice located at 9751 S Charles St Apt 1F , Chicago IL 60643-1250. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Deavens, Michael can be contacted via phone (618) 353-4277.

Contact Information

Primary practice address
9751 S Charles St Apt 1F Chicago IL 60643-1250
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1023685203
LBN Legal business name Deavens, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2021
Last updated Jun 7th, 2021 - about 3 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.

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