Devers, Sue Lillian

Devers, Sue Lillian is an individual health care provider with primary practice located at 3449 E Rezanof Dr , Kodiak AK 99615. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Devers, Sue Lillian can be contacted via phone (907) 486-9870.

Contact Information

Primary practice address
3449 E Rezanof Dr Kodiak AK 99615
Phone: (907) 486-9870
Fax: (907) 486-9897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4497 Alaska
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4497 Alaska

Profile Details

NPI number 1407178957
LBN Legal business name Devers, Sue Lillian
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2010
Last updated Feb 25th, 2010 - about 15 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 1407178957 NPPES
Alaska MEDICAID CL3225

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