Devleschoward, Allen Bernard

Devleschoward, Allen Bernard is an individual health care provider with primary practice located at 302 W Hay St Ste 210, Decatur IL 62526-4167. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Other Service Providers / Specialist is his primary health care specialty. Devleschoward, Allen Bernard can be contacted via phone (217) 877-5943.

Contact Information

Primary practice address
302 W Hay St Ste 210 Decatur IL 62526-4167
Phone: (217) 877-5943
Fax: (217) 877-0023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois
Other Service Providers / Specialist 174400000X 036045992 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-045992 Illinois

Profile Details

NPI number 1326191503
LBN Legal business name Devleschoward, Allen Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 29th, 2011 - about 14 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 1326191503 NPPES
Illinois MEDICAID 036045992

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