Devault, William Leonard

Devault, William Leonard is an individual health care provider with primary practice located at 1000 N Allen St , Robinson IL 62454-1114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Devault, William Leonard can be contacted via phone (618) 546-1294.

Contact Information

Primary practice address
1000 N Allen St Robinson IL 62454-1114
Phone: (618) 546-1294
Fax: (618) 546-2665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 201301122 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101043815 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036145174 Illinois

Profile Details

NPI number 1215909718
LBN Legal business name Devault, William Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Sep 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215909718 NPPES
North Carolina Other 178HJ BCBSNC ID
North Carolina Other NCD013A BCBSNC ID
North Carolina MEDICAID 1215909718 BCBSNC ID

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