Devendorf, Deborah J.

Devendorf, Deborah J. is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Devendorf, Deborah J. can be contacted via phone (757) 668-7456.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Fax: (757) 668-9255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101040971 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101040971 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101040971 Virginia

Profile Details

NPI number 1710937354
LBN Legal business name Devendorf, Deborah J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 7th, 2009 - about 15 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 1710937354 NPPES
Maryland MEDICAID 122911700
Maryland MEDICAID 0018910680001
Maryland MEDICAID 890567J
Maryland MEDICAID 9801061000
Maryland MEDICAID 006722466
Maryland MEDICAID 0000937501

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