Devereaux, Michael W

Devereaux, Michael W is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Devereaux, Michael W can be contacted via phone (216) 844-3192.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-3192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35-040322 Ohio

Profile Details

NPI number 1962420430
LBN Legal business name Devereaux, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962420430 NPPES
Ohio Other 0964431 AETNA
Ohio Other 363481 AETNA
Ohio MEDICAID 0340303 AETNA
Ohio Other P00368430 AETNA
Ohio Other 741862 AETNA
Ohio Other 000000510667 AETNA
Ohio Other 000000221409 AETNA
Ohio Other 130017944 AETNA

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