Devine, Charles Joseph

Devine, Charles Joseph is an sole proprietor health care provider with primary practice located at 434 Washington St. , Boydton VA 23917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Devine, Charles Joseph can be contacted via phone (434) 738-6815.

Contact Information

Primary practice address
434 Washington St. Boydton VA 23917
Phone: (434) 738-6815
Fax: (434) 738-6295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 0101034518 Virginia

Profile Details

NPI number 1053454058
LBN Legal business name Devine, Charles Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 18 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 1053454058 NPPES
Virginia MEDICAID 5811007

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