Devine, Audrey
Devine, Audrey is an individual health care provider with primary practice located at 1270 N Post Rd Ste B , Indianapolis IN 46219-4254. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Devine, Audrey can be contacted via phone (317) 999-9999.Contact Information
Primary practice address
1270 N Post Rd Ste B
Indianapolis IN 46219-4254
Phone: (317) 999-9999
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11019470A | Indiana |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 01085094A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01085094A | Indiana |
Profile Details
NPI number | 1588194039 |
---|---|
LBN Legal business name | Devine, Audrey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2017 |
Last updated | Mar 8th, 2024 - about last year |
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 | 1588194039 | NPPES |
Other | 266180L38 | MEDICARE | |
MEDICAID | 300064418 | MEDICARE |
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