Devita, Michael
Devita, Michael is an individual health care provider with primary practice located at 1640 Highway 88 Suite 201, Brick NJ 08724-3036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Devita, Michael can be contacted via phone (732) 840-1900.Contact Information
Primary practice address
1640 Highway 88 Suite 201
Brick NJ 08724-3036
Phone: (732) 840-1900
Fax: (732) 840-0355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MB06428600 | New Jersey |
Profile Details
| NPI number | 1790766277 |
|---|---|
| LBN Legal business name | Devita, Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Feb 29th, 2008 - about 16 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 | 1790766277 | NPPES |
| New Jersey | MEDICAID | 0001511 |
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