Devlin, William Robert
Devlin, William Robert is an sole proprietor health care provider with primary practice located at 502 S Vine St , Urbana IL 61801-4220. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Devlin, William Robert can be contacted via phone (217) 344-6664.Contact Information
Primary practice address
502 S Vine St
Urbana IL 61801-4220
Phone: (217) 344-6664
Fax: (217) 344-9282
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | Illinois | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | Illinois |
Profile Details
NPI number | 1255318176 |
---|---|
LBN Legal business name | Devlin, William Robert |
Credentials | CPO |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 30th, 2005 |
Last updated | Jul 9th, 2007 - about 18 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 | 1255318176 | NPPES |
Illinois | MEDICAID | 113686141001 | |
Illinois | Other | CPO02628 |
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