Devera, Brent
Devera, Brent is an individual health care provider with primary practice located at 650 N Nellis Blvd , Las Vegas NV 89110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Devera, Brent can be contacted via phone (702) 790-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO1958 | Nevada |
Profile Details
| NPI number | 1609134048 |
|---|---|
| LBN Legal business name | Devera, Brent |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2012 |
| Last updated | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609134048 | NPPES |
| New York | MEDICAID | 1609134048 |
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