Devin, Jessica K

Devin, Jessica K is an individual health care provider with primary practice located at 1100 Central Park Dr Ste 200 , Steamboat Springs CO 80487. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Devin, Jessica K can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
1100 Central Park Dr Ste 200 Steamboat Springs CO 80487
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 44511 Tennessee

Profile Details

NPI number 1063569945
LBN Legal business name Devin, Jessica K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 19th, 2018 - about 7 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 1063569945 NPPES
Tennessee Other 44511 STATE MEDICAL LICENSE
Tennessee MEDICAID 1512570 STATE MEDICAL LICENSE

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