Deville, Jason Marc

Deville, Jason Marc is an individual health care provider with primary practice located at 605 E Holland Ave Suite 101, Spokane WA 99218-2225. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Deville, Jason Marc can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
605 E Holland Ave Suite 101 Spokane WA 99218-2225
Phone: (509) 838-2531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO26307 Oregon
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X OP60007005 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X O-0476 Idaho

Profile Details

NPI number 1255440459
LBN Legal business name Deville, Jason Marc
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 7th, 2023 - about 2 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 1255440459 NPPES
Washington MEDICAID 8510828

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