Devillier, James Russell
Devillier, James Russell is an sole proprietor health care provider with primary practice located at 296 Denada Path , Roxboro NC 27574-6306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Devillier, James Russell can be contacted via phone (336) 659-9440.Contact Information
Primary practice address
296 Denada Path
Roxboro NC 27574-6306
Phone: (336) 659-9440
Fax: (336) 659-9845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 9500554 | North Carolina |
Profile Details
| NPI number | 1457403206 |
|---|---|
| LBN Legal business name | Devillier, James Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jun 12th, 2013 - about 11 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 | 1457403206 | NPPES |
| North Carolina | Other | 140WF | BCBS |
| North Carolina | MEDICAID | 5900890 | BCBS |
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