Devoe, Mark D
Devoe, Mark D is an sole proprietor health care provider with primary practice located at 982 Chambers St , South Ogden UT 84403-4571. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Devoe, Mark D can be contacted via phone (801) 479-4105.Contact Information
Primary practice address
982 Chambers St
South Ogden UT 84403-4571
Phone: (801) 479-4105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8331538-3501 | Utah |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1467745893 |
|---|---|
| LBN Legal business name | Devoe, Mark D |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2011 |
| Last updated | Jul 19th, 2017 - about 7 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 | 1467745893 | NPPES |
| Utah | Other | 260022408 | RAILROAD MEDICARE |
| Utah | MEDICAID | 876000308007 | RAILROAD MEDICARE |
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