Devine, Tim

Devine, Tim is an individual health care provider with primary practice located at 31 Taylor St , Harpers Ferry WV 25425-9519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Devine, Tim can be contacted via phone (304) 535-6343.

Contact Information

Primary practice address
31 Taylor St Harpers Ferry WV 25425-9519
Phone: (304) 535-6343
Fax: (304) 535-6618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22940 West Virginia

Profile Details

NPI number 1316144033
LBN Legal business name Devine, Tim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Jan 6th, 2021 - about 4 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 1316144033 NPPES
West Virginia Other P00623101 RAILROAD MEDICARE
West Virginia Other CA7030 RAILROAD MEDICARE
West Virginia MEDICAID 3810012381 RAILROAD MEDICARE

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