Devine, Susan Diane

Devine, Susan Diane is an sole proprietor health care provider with primary practice located at 812 Wrenwood Dr , Bowling Green KY 42103-1582. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Devine, Susan Diane can be contacted via phone (270) 779-7564.

Contact Information

Primary practice address
812 Wrenwood Dr Bowling Green KY 42103-1582
Fax: (270) 842-6011
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X VISION CERTIFICATION Tennessee

Profile Details

NPI number 1467653162
LBN Legal business name Devine, Susan Diane
Credentials T.V.I.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Jul 8th, 2007 - about 17 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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