Deverell, Craig W.

Deverell, Craig W. is an individual health care provider with primary practice located at 1900 E Lake Shore Dr Suite 150, Decatur IL 62521-3824. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Deverell, Craig W. can be contacted via phone (217) 428-6222.

Contact Information

Primary practice address
1900 E Lake Shore Dr Suite 150 Decatur IL 62521-3824
Phone: (217) 428-6222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1255397592
LBN Legal business name Deverell, Craig W.
Credentials ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - about 18 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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