Devlin, Terri

Devlin, Terri is an sole proprietor health care provider with primary practice located at 1357 W Collin Raye Dr , De Queen AR 71832-2946. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Devlin, Terri can be contacted via phone (870) 642-4364.

Contact Information

Primary practice address
1357 W Collin Raye Dr De Queen AR 71832-2946
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E2169 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X E-2169 Arkansas

Profile Details

NPI number 1710982285
LBN Legal business name Devlin, Terri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Apr 24th, 2014 - about 11 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 1710982285 NPPES
Oklahoma MEDICAID 100248960A
Oklahoma Other 186480000
Oklahoma MEDICAID 137581001
Oklahoma Other 5L261
Oklahoma MEDICAID 100025500A

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