Develle, Stephanie R

Develle, Stephanie R is an individual health care provider with primary practice located at 12040 Ne 128Th St , Kirkland WA 98034-3013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Develle, Stephanie R can be contacted via phone (425) 899-4543.

Contact Information

Primary practice address
12040 Ne 128Th St Kirkland WA 98034-3013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00040046 Washington

Profile Details

NPI number 1447321070
LBN Legal business name Develle, Stephanie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447321070 NPPES
Washington MEDICAID 8283145

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