Depner, Devin G

Depner, Devin G is an individual health care provider with primary practice located at 2576 Brodhead Rd , Aliquippa PA 15001-4380. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Depner, Devin G can be contacted via phone (724) 378-8585.

Contact Information

Primary practice address
2576 Brodhead Rd Aliquippa PA 15001-4380
Fax: (724) 375-1574
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000767 Pennsylvania
Eye and Vision Services Providers / Vision Therapy 152WV0400X OEG000767 Pennsylvania

Profile Details

NPI number 1679547335
LBN Legal business name Depner, Devin G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Apr 2nd, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679547335 NPPES
Pennsylvania MEDICAID 0019390180001
Pennsylvania Other 1450497

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