Devine, Terence Moody

Devine, Terence Moody is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Devine, Terence Moody can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax: (570) 887-3236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 131307-1 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD028357E Pennsylvania

Profile Details

NPI number 1326013525
LBN Legal business name Devine, Terence Moody
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jan 9th, 2019 - about 6 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 1326013525 NPPES
New York MEDICAID 00627770
New York Other CC9269
New York Other P00258515
New York Other CC8362
New York MEDICAID 00009003960001
New York Other GU039847
New York Other 180040307

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