Devane, Jo Lee
Devane, Jo Lee is an sole proprietor health care provider with primary practice located at 1120 N Ocoee St Lee University Health Clinic, Cleveland TN 37311-4458. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Devane, Jo Lee can be contacted via phone (423) 614-8430.Contact Information
Primary practice address
1120 N Ocoee St Lee University Health Clinic
Cleveland TN 37311-4458
Phone: (423) 614-8430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 012009 | Tennessee |
Profile Details
| NPI number | 1023155546 |
|---|---|
| LBN Legal business name | Devane, Jo Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1023155546 | NPPES |
| Tennessee | MEDICAID | 3722363 | |
| Tennessee | Other | 4012706 |
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