Devita, Jennifer R
Devita, Jennifer R is an individual health care provider with primary practice located at 1100 Hinesburg Rd Suite 201, South Burlington VT 05403-7613. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Devita, Jennifer R can be contacted via phone (802) 862-1808.Contact Information
Primary practice address
1100 Hinesburg Rd Suite 201
South Burlington VT 05403-7613
Phone: (802) 862-1808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 030000330 | Vermont |
Profile Details
| NPI number | 1609825769 |
|---|---|
| LBN Legal business name | Devita, Jennifer R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jun 23rd, 2016 - about 8 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 | 1609825769 | NPPES |
| Vermont | Other | P00218676 | RAIL ROAD MEDICARE |
| Vermont | MEDICAID | 1010544 | RAIL ROAD MEDICARE |
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