Devine, Julia
Devine, Julia is an sole proprietor health care provider with primary practice located at 21945 Three Notch Rd Ste 102 , Lexington Park MD 20653-1563. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Devine, Julia can be contacted via phone (240) 298-6680.Contact Information
Primary practice address
21945 Three Notch Rd Ste 102
Lexington Park MD 20653-1563
Phone: (240) 298-6680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC5662 | Maryland |
Profile Details
| NPI number | 1457507899 |
|---|---|
| LBN Legal business name | Devine, Julia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Mar 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457507899 | NPPES |
| Maryland | MEDICAID | 58956180 |
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