Devenport, David
Devenport, David is an sole proprietor health care provider with primary practice located at 672 W. 400 S. Suite 101, Springville UT 84663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Devenport, David can be contacted via phone (801) 491-9883.Contact Information
Primary practice address
672 W. 400 S. Suite 101
Springville UT 84663
Phone: (801) 491-9883
Fax: (801) 489-3141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 290516-1205 | Utah |
Profile Details
| NPI number | 1245258425 |
|---|---|
| LBN Legal business name | Devenport, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Nov 2nd, 2023 - about last year |
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 | 1245258425 | NPPES |
| Utah | MEDICAID | D3263 |
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