Deivert, Duane E.
Deivert, Duane E. is an individual health care provider with primary practice located at 675 Baltimore Dr , Wilkes Barre PA 18702-7900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Deivert, Duane E. can be contacted via phone (570) 808-5757.Contact Information
Primary practice address
675 Baltimore Dr
Wilkes Barre PA 18702-7900
Phone: (570) 808-5757
Fax: (570) 808-5753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OS012660 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | OS012660 | Pennsylvania |
Profile Details
| NPI number | 1992771158 |
|---|---|
| LBN Legal business name | Deivert, Duane E. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Aug 10th, 2020 - about 5 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 | 1992771158 | NPPES |
| Pennsylvania | MEDICAID | 101355085 |
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