Devenpeck, Chris
Devenpeck, Chris is an individual health care provider with primary practice located at 1025 N Tioga St , Ithaca NY 14850. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Devenpeck, Chris can be contacted via phone (607) 272-4331.Contact Information
Primary practice address
1025 N Tioga St
Ithaca NY 14850
Phone: (607) 272-4331
Fax: (607) 273-6861
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 036026 | New York |
Profile Details
NPI number | 1194866376 |
---|---|
LBN Legal business name | Devenpeck, Chris |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194866376 | NPPES |
New York | MEDICAID | 0065994 |
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